Healthcare Provider Details

I. General information

NPI: 1093626178
Provider Name (Legal Business Name): AMANDA HOY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 SERVIDEA DR
RIDGWAY PA
15853-6333
US

IV. Provider business mailing address

47 BEACON LIGHT WAY
BRADFORD PA
16701-3279
US

V. Phone/Fax

Practice location:
  • Phone: 814-776-2145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN292632
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: