Provider Demographics
NPI:1285150441
Name:AMBS, ANNE MICHELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MICHELLE
Last Name:AMBS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6724 RIVER HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8245
Mailing Address - Country:US
Mailing Address - Phone:336-954-0128
Mailing Address - Fax:
Practice Address - Street 1:1500 NEELLEY RD
Practice Address - Street 2:
Practice Address - City:PLEASANT GARDEN
Practice Address - State:NC
Practice Address - Zip Code:27313-9230
Practice Address - Country:US
Practice Address - Phone:336-674-6191
Practice Address - Fax:336-674-6496
Is Sole Proprietor?:No
Enumeration Date:2017-08-19
Last Update Date:2017-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily