Individual
AGNES AMBROSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FPN-C
Contact information
Practice address
2010 ABIDJAN PL, DULLES, VA 20189-2009
(225) 224-9414
Mailing address
2010 ABIDJAN PLACE, DULLES, VA 20189-2010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN36524
RI
363LF0000X
Family Nurse Practitioner
Primary
F060811
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F060811
AANP
RI
Enumeration date
04/27/2008
Last updated
01/08/2013
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