Ambs, Nancy Diane
Ambs, Nancy Diane is an individual health care provider with primary practice located at 3770 Glenkerry Ct , Portage MI 49024-0700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ambs, Nancy Diane can be contacted via phone (269) 329-2887.Contact Information
Primary practice address
3770 Glenkerry Ct
Portage MI 49024-0700
Phone: (269) 329-2887
Fax: (269) 329-2805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704151927 | Michigan |
Profile Details
| NPI number | 1902863624 |
|---|---|
| LBN Legal business name | Ambs, Nancy Diane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Nov 19th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902863624 | NPPES |
| Michigan | Other | 4544234 | MEDICAID |
| Michigan | Other | 4504130 | MEDICAID |
| Michigan | MEDICAID | 4504140 | MEDICAID |
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