Ambrose, Mary Ann

Ambrose, Mary Ann is an sole proprietor health care provider with primary practice located at 145 Shadow Creek Ln , Paso Robles CA 93446-1922. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ambrose, Mary Ann can be contacted via phone (805) 748-5663.

Contact Information

Primary practice address
145 Shadow Creek Ln Paso Robles CA 93446-1922
Phone: (805) 748-5663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP12654 California
Nursing Service Providers / Registered Nurse 163W00000X RN094333 Arizona

Profile Details

NPI number 1811993991
LBN Legal business name Ambrose, Mary Ann
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Aug 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811993991 NPPES
California MEDICAID 5854236
California Other P00011916

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