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Contact Information

NICOLE AMBROSE, PA-C
2185 CITRACADO PKWY
ESCONDIDO, CA92029
 Phone: 760-766-6809
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NICOLE AMBROSE · (Female)

NPI # 1780207449
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/28/2020
Last updated 12/07/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PA59843
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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