LYDIA ANN AMBROSIUS

GREEN BAY, WI
NPI1700489796
Former NameLYDIA ANN NIKODEM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: WI  149009-32)
Enumeration Date2020-11-20
Last Update Date2021-03-31
Business Address
LYDIA ANN AMBROSIUS CNM,APNP
720 S VANBUREN ST SUITE 101
GREEN BAY, WI 54301-3504
Phone number: 920-468-3444
Mailing Address
LYDIA ANN AMBROSIUS CNM,APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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