Provider Demographics
NPI:1568740454
Name:RYCHENER, AMBER (NP-C)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:RYCHENER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 MONROE ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2767
Mailing Address - Country:US
Mailing Address - Phone:419-473-6622
Mailing Address - Fax:419-473-6627
Practice Address - Street 1:5700 MONROE ST
Practice Address - Street 2:SUITE 303
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2767
Practice Address - Country:US
Practice Address - Phone:419-473-6622
Practice Address - Fax:419-473-6627
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN341320-COA1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0051258Medicaid
OH1568740454OtherNPI
OHH013100Medicare PIN