Individual
BETHANY MICHAELA AMBROSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
(808) 872-4029
Mailing address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
(808) 872-4029
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO181047
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
DOS2434
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079492
—
WA
05
—
500724816
—
OR
Enumeration date
03/30/2013
Last updated
12/28/2023
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