Colleen E Ambrose NP

NPI 1043296080 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1043296080
Gender Female
Enumeration Date 12/21/2005
Last Updated 01/31/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
BEREA KY, 40403-9594, US
Phone (859) 986-2323
Fax (859) 986-7728
Business Location
1010 MAIN ST S
MC KEE KY, 40447-7089, US
Phone (606) 287-7104
Fax (606) 287-4409
Taxonomy Code 363L00000X
License State Kentucky
License Number 185P
Remove 1043296080 NPI Number

According to our database, Colleen E Ambrose NP NPI is 1043296080, taxonomy code is 363L00000X and license number is 185P, license state is located at Kentucky. Colleen E Ambrose NP physically located at 104 Legacy Dr, Berea KY, 40403-9594. NPI Number Colleen E Ambrose NP has the Individual type.

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1043296080 NPI number is provided on an as is basis without warranty of any kind. 1043296080 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen E Ambrose NP are for informational purposes only.