Individual
STACEY L AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
2201 RIDGEWOOD RD STE 180, WYOMISSING, PA 19610-1190
(267) 257-5896
Mailing address
2201 RIDGEWOOD RD STE 180, WYOMISSING, PA 19610-1190
(267) 257-5896
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP023740
PA
Other
Enumeration date
05/17/2021
Last updated
08/16/2021
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