Provider Demographics
NPI:1376577932
Name:AMBROSE, YVONNE THERESA (FNP-C, ACNP-C)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:THERESA
Last Name:AMBROSE
Suffix:
Gender:F
Credentials:FNP-C, ACNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:MUENSTER
Mailing Address - State:TX
Mailing Address - Zip Code:76252-0370
Mailing Address - Country:US
Mailing Address - Phone:940-759-2226
Mailing Address - Fax:940-759-2385
Practice Address - Street 1:509 N MAPLE
Practice Address - Street 2:
Practice Address - City:MUENSTER
Practice Address - State:TX
Practice Address - Zip Code:76252
Practice Address - Country:US
Practice Address - Phone:940-759-2226
Practice Address - Fax:940-759-2385
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231240363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148682101Medicaid
TXP00410357OtherMEDICARE RAILROAD
TX148682104Medicaid
TX86N479OtherBCBS TX
TXP00410357OtherMEDICARE RAILROAD
TX148682104Medicaid