MARIA AMBUSH

FORT WAYNE, IN
NPI1083123103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007511A)
Enumeration Date2017-09-20
Last Update Date2017-09-20
Business Address
Mrs. MARIA AMBUSH NP-C
7900 W JEFFERSON BLVD STE 104
FORT WAYNE, IN 46804-4128
Phone number: 260-435-7350
Mailing Address
Mrs. MARIA AMBUSH NP-C
11825 KEEPERS GATE
SPENCERVILLE, IN 46788-9289
Phone number: