Alexis V Ambrose, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Tiffin, OH
NPI 1366733289 · NPPES record last updated Apr 26, 2011
Key facts
- NPI
- 1366733289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN. 122275 (OH)
- Practice address
- 483 Autumnwood Dr
Apt. a
Tiffin, OH 44883-1870 - Phone
- (419) 618-7954
- NPI assigned
- Apr 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 122275 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 122275 | OH | Yes |
Addresses
Primary practice location
483 Autumnwood Dr
Apt. a
Tiffin, OH 44883-1870
Mailing address
483 Autumnwood Dr
Apt. a
Tiffin, OH 44883-1870
Phone (419) 618-7954
Other providers in Tiffin, OH
- Nafea Alharbi
- Irene E Allen
- Jonathan Robert Allen
- Tammy Allgyre
- Sierra Michelle Allison
- Jacqueline Marie Anderson
- Andrew J. Gase, M.D., Inc
- Joel Ardner
- Korina Armes
- Samuel E Arnold
All providers in Tiffin, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.