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Contact Information

REBECCA C AMBROSE, CNM
1279 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA30214-4551
 Phone: 770-719-5710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA C AMBROSE · (Female)

NPI Number 1922291004
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 08/22/2007
Last updated 11/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN112110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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