Evelyne Ambroise, LPN is a
Licensed Practical Nurse based in Hiram, Georgia. Evelyne Ambroise is licensed to practice in Georgia (license number LPN074773) and her current practice location is
111 Eagles Nest Dr, 0, Hiram, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 635-8173.
NPI number for Evelyne Ambroise is 1598943383 and her current mailing address is 111 Eagles Nest Dr, 0, Hiram, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598943383.
Provider's Profile
| Full Name | Evelyne Ambroise |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 111 Eagles Nest Dr, Hiram, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598943383
- Provider Enumeration Date: 02/05/2008
- Last Update Date: 02/05/2008
Medical Identifiers
Medical identifiers for Evelyne Ambroise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598943383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN074773 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evelyne Ambroise is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evelyne Ambroise, LPN
111 Eagles Nest Dr, 0,
Hiram, GA 30141-3562
Ph: (770) 635-8173 | Evelyne Ambroise, LPN
111 Eagles Nest Dr, 0,
Hiram, GA 30141-3562
Ph: (770) 635-8173 |
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