Organization
RAVEN HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL AMBROSE (OWNER)
(907) 388-6308
Entity
Organization
Contact information
Practice address
2270 COMMERCIAL DR UNIT 2, PAHRUMP, NV 89048-4704
(725) 253-5127
Mailing address
1145 PARK DR, FAIRBANKS, AK 99709-4714
(907) 388-6308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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