Individual
MS. AMBER NICOLE AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
65 ALEXANDER AVE, STATEN ISLAND, NY 10312-1907
(347) 410-1490
Mailing address
65 ALEXANDER AVE, STATEN ISLAND, NY 10312-1907
(347) 410-1490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
794394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
794394
NY STATE BOARD OF NURSING
NY
Enumeration date
06/14/2022
Last updated
06/14/2022
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