Individual
BRIAN AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 W 16TH ST, GREELEY, CO 80634-6862
(970) 978-4386
Mailing address
7134 S YALE AVE STE 560, TULSA, OK 74136-6352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN0337315
CO
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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