Individual
MRS. JENNIFER RAE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4100 LAKE OTIS PKWY, SUITE 222, ANCHORAGE, AK 99508-5229
(612) 269-1918
Mailing address
16015 SUNSET BEND CIR, ANCHORAGE, AK 99516-7576
(612) 269-1918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101104
NE
Other
Enumeration date
07/17/2009
Last updated
07/16/2013
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