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Individual

DENISSE AMBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(765) 702-2819
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0099-01437
NC
2084P0800X
Psychiatry Physician
01074464A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01074464A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001618326
ANTHEM PTAN
IN
05
201245550
IN
05
89134TW
NC
Enumeration date
10/10/2006
Last updated
04/07/2026
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