Provider Demographics
NPI:1609673177
Name:MBAYE, AMY LO
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LO
Last Name:MBAYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4860 FOXCROFT CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4117
Mailing Address - Country:US
Mailing Address - Phone:614-329-3336
Mailing Address - Fax:
Practice Address - Street 1:4860 FOXCROFT CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4117
Practice Address - Country:US
Practice Address - Phone:614-329-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant