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Individual
MS. YVONNE THERESA AMBROSE
Active
Individual
MS. YVONNE THERESA AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, ACNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
231240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148682101
—
TX
05
—
148682104
—
TX
01
—
86N479
BCBS TX
TX
01
—
P00410357
MEDICARE RAILROAD
TX
Enumeration date
07/10/2006
Last updated
03/17/2017
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