MEDICARE: ANN AMBROSE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	96056	CO

General Provider Information

NPI Number	:	1982610911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN AMBROSE NP

Provider Business Mailing Address
First Line	:	1805 SHEA CENTER DR STE 301
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2277
Country	:	US
Telephone Number	:	303-357-2559
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 E HARVARD AVE STE 405
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5077
Country	:	US
Telephone Number	:	303-584-8900
Fax Number	:	303-584-0525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/18/2020

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Directions to “ ANN AMBROSE NP” Practice Location

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