Ambrosius, Lydia Ann

Ambrosius, Lydia Ann is an individual health care provider with primary practice located at 720 S Vanburen St Suite 101, Green Bay WI 54301-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ambrosius, Lydia Ann can be contacted via phone (920) 468-3444.

Contact Information

Primary practice address
720 S Vanburen St Suite 101 Green Bay WI 54301-3504
Phone: (920) 468-3444
Fax: (920) 432-6313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 149009-32 Wisconsin

Profile Details

NPI number 1700489796
LBN Legal business name Ambrosius, Lydia Ann
Credentials CNM,APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Mar 31st, 2021 - about 3 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 1700489796 NPPES
Other CNM06674 AMERICAN MIDWIFERY CERTIFICATION BOARD

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