Shepherd, Annette Ambito

Shepherd, Annette Ambito is an sole proprietor health care provider with primary practice located at 340 4Th Ave Ste 11 , Chula Vista CA 91910. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Shepherd, Annette Ambito can be contacted via phone (619) 422-6158.

Contact Information

Primary practice address
340 4Th Ave Ste 11 Chula Vista CA 91910
Phone: (619) 422-6158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95008959 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95008959 California

Profile Details

NPI number 1417441130
LBN Legal business name Shepherd, Annette Ambito
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2018
Last updated Jun 21st, 2018 - about 6 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 1417441130 NPPES
California Other 95008959 CALIFORNIA BOARD OF NURSING NURSE PRACTITIONER CERTIFICATE

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