Individual
PAIGE S AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4600 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 450-7246
(812) 450-4855
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7246
(812) 450-4855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004215A
IN
363LF0000X
Family Nurse Practitioner
71004215A
IN
Other
Enumeration date
11/15/2012
Last updated
03/22/2019
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