| Doctor Name: | NAN L AMBROSY |
| NPI Number: | 1144325648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 53-74864 |
| Business Practice Address: | 1340 Blairs Ferry Rd Hiawatha, IA - 522331900 |
| Business Phone Number: | 3193986575 |
| Business Fax Number: | 3193694673 |
| Mailing Address: | 1340 Blairs Ferry Rd, HIAWATHA |
| State: | IA |
| Postal Code: | 522331900 |
| Phone Number: | 3193986575 |
| Fax Number: | 3193694673 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 10/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 53-74864 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |