Doctor Name: | MRS. HOLLY AMBROSE |
NPI Number: | 1124203716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CNP |
License Number: | NP 01985 |
Business Practice Address: | 605 Bradley Rd Bay Village, OH - 441401670 |
Business Phone Number: | 4408713474 |
Business Fax Number: | |
Mailing Address: | 12380 Plaza Dr, PARMA |
State: | OH |
Postal Code: | 441301043 |
Phone Number: | 2168988444 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2008 |
NPI Last Update Date: | 04/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | NP 01985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |