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PAMELA JEAN AMBROZAITIS RN

Nursing Service Providers Registered Nurse

Provider NPI: 1366753394

Provider Information:
 PAMELA JEAN AMBROZAITIS RN
Gender: F
Sole Proprietor

Practice Location:
2060 17 1/4 AVE  RICE LAKE, WI 54868-8630 US
Tel: 715-651-1164  Fax: --

Business Mailing Address:
2060 17 1/4 AVE  RICE LAKE, WI 54868-8630 US
Tel: 715-651-1164  Fax: --

NPI Information:
NPI: 1366753394
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
WI173700-30
N164W00000XNursing Service Providers
Licensed Practical Nurse
WI311489-031

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163W00000X

Type:

Classification:



Definition:



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