Olivia Jeanine Ambrose, PARAMEDIC
Individual provider Active NPI Driver · Aulander, NC
NPI 1497483382 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1497483382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 32433662 (NC)
- Practice address
- 1154 NC Highway 305
Aulander, NC 27805-9662 - Phone
- (252) 642-5240
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 32433662 | NC | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Medical Transport | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 32433662 | NC | Yes |
Addresses
Primary practice location
1154 NC Highway 305
Aulander, NC 27805-9662
Mailing address
1154 NC Highway 305
Aulander, NC 27805-9662
Phone (252) 642-5240
Other providers in Aulander, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. 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.