Ambrosy, Nan L

Ambrosy, Nan L is an individual health care provider with primary practice located at 2750 Saint Francis Dr , Waterloo IA 50702-5644. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ambrosy, Nan L can be contacted via phone (319) 272-8922.

Contact Information

Primary practice address
2750 Saint Francis Dr Waterloo IA 50702-5644
Phone: (319) 272-8922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53-74864 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 53-45383 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X T128919 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G128919 Iowa

Profile Details

NPI number 1144325648
LBN Legal business name Ambrosy, Nan L
Credentials DNP, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Mar 1st, 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 1144325648 NPPES
Iowa MEDICAID 0704914
Iowa MEDICAID 100450710C
Iowa Other 161308

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