Provider Demographics
NPI:1659073518
Name:MEIKLE, AMBROSIA
Entity Type:Individual
Prefix:
First Name:AMBROSIA
Middle Name:
Last Name:MEIKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10457 W 82ND PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4740
Mailing Address - Country:US
Mailing Address - Phone:310-365-0369
Mailing Address - Fax:
Practice Address - Street 1:10457 W 82ND PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4740
Practice Address - Country:US
Practice Address - Phone:310-365-0369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula