| Doctor Name: | ANGEL LB AMBROSE |
| NPI Number: | 1073978839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 36717 |
| Business Practice Address: | 1000 Greg Kruschek Avenue Nome, AK - 99762 |
| Business Phone Number: | 9074434517 |
| Business Fax Number: | |
| Mailing Address: | Po Box 966, NOME |
| State: | AK |
| Postal Code: | 997620966 |
| Phone Number: | 9074434517 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | 36717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |