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
Fax: (269) 329-2805
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1902863624 NPPES
Michigan Other 4544234 MEDICAID
Michigan Other 4504130 MEDICAID
Michigan MEDICAID 4504140 MEDICAID

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