MEDICARE: MRS. AMY VOYLES FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0028861	OH

General Provider Information

NPI Number	:	1629643671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY VOYLES FNP-C

Provider Business Mailing Address
First Line	:	4627 BROOKSIDE RD
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43615-2207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4627 BROOKSIDE RD
Second Line	:
City	:	OTTAWA HILLS
State	:	OH
Zip	:	43615-2207
Country	:	US
Telephone Number	:	419-377-0252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2021
Last Update Date	:	10/01/2024

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