Healthcare Provider Details

I. General information

NPI: 1720626682
Provider Name (Legal Business Name): AMY MARIE FLEMING HOYT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2019
Last Update Date: 08/14/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 BREMO RD
RICHMOND VA
23226-1907
US

IV. Provider business mailing address

5855 BREMO RD STE 210
RICHMOND VA
23226-1922
US

V. Phone/Fax

Practice location:
  • Phone: 804-287-7066
  • Fax:
Mailing address:
  • Phone: 804-287-7066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number0001208406
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024178113
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: