Provider Demographics
NPI:1790049419
Name:AMBE, BILLIRT ZEEH (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BILLIRT
Middle Name:ZEEH
Last Name:AMBE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 SHEERER DR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-7735
Mailing Address - Country:US
Mailing Address - Phone:443-409-7819
Mailing Address - Fax:202-545-0934
Practice Address - Street 1:191 SHEERER DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-7735
Practice Address - Country:US
Practice Address - Phone:443-409-7819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV115077363LP0808X
374U00000X
MDAC005171363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDAC005171OtherMARYLAND BOARD OF NURSING.