NPI | 1134865595 |
---|---|
Doing Business As | AMBLE MEDICAL |
Entity Type | Organization |
Authorized Contact | SOPHIE JENSEN Credentialing Specialist 801-253-6886 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
207Q00000X Family Medicine | |
213E00000X Podiatrist | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2022-05-09 |
Last Update Date | 2023-12-13 |