Ambrose, Angel Lb

Ambrose, Angel Lb is an individual health care provider with primary practice located at 1397 S Loop Rd , Pahrump NV 89048-4729. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ambrose, Angel Lb can be contacted via phone (775) 727-5500.

Contact Information

Primary practice address
1397 S Loop Rd Pahrump NV 89048-4729
Phone: (775) 727-5500
Fax: (775) 727-5696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 36717 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 829703 Nevada

Profile Details

NPI number 1073978839
LBN Legal business name Ambrose, Angel Lb
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2015
Last updated Oct 14th, 2022 - about 2 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 1073978839 NPPES
Nevada Other 829703 STATE LICENSE
Nevada MEDICAID 1073978839 STATE LICENSE
Nevada Other 36717 STATE LICENSE

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