Provider Demographics
NPI:1649558875
Name:SHETH, AMI PATEL (RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:AMI
Middle Name:PATEL
Last Name:SHETH
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 COUNTY LINE ROAD WEST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7027
Mailing Address - Country:US
Mailing Address - Phone:614-847-4100
Mailing Address - Fax:614-430-1601
Practice Address - Street 1:428 COUNTY LINE ROAD WEST
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7027
Practice Address - Country:US
Practice Address - Phone:614-847-4100
Practice Address - Fax:614-430-1601
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH359339163W00000X
OHCOA.125.45-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse