Maria Andruzzi Ambrosini, FNP

Individual provider Active NPI Nurse Practitioner · Ladera Ranch, CA

NPI 1750898441 · NPPES record last updated Mar 2, 2022

Key facts

NPI
1750898441
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
95017172 (CA)
Practice address
333 Corporate Dr Ste 200
Ladera Ranch, CA 92694-2179
Phone
(949) 347-7200
Fax
(949) 347-7217
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
95017172CAMDNurse Practitioner
AMBR-6FP0U6NCMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mambrosini140634@direct.novanthealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AMBR-6FP0U6 NC
Nurse Practitioner 363L00000X 95017172 CA Yes

Addresses

Primary practice location

333 Corporate Dr Ste 200
Ladera Ranch, CA 92694-2179

Mailing address

24422 Avenida de la Carlota Ste 300
Laguna Hills, CA 92653-3628
Phone (949) 599-2423

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mambrosini140634@direct.novanthealth.org

Other providers in Ladera Ranch, CA

All providers in Ladera Ranch, CA · Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.