Individual
MRS. SUSAN A AMBRUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6330 E. 75TH STREET, SUITE 140, INDIANAPOLIS, IN 46250
(317) 594-6900
(317) 594-6911
Mailing address
12543 GEIST COVE DRIVE, INDIANAPOLIS, IN 46236
(317) 826-8606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28140967A
IN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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