Provider Demographics
NPI:1013487552
Name:CHE, AMBE ERNEST (CNP)
Entity Type:Individual
Prefix:
First Name:AMBE
Middle Name:ERNEST
Last Name:CHE
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 COUNTY ROAD D E STE C100
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-5354
Mailing Address - Country:US
Mailing Address - Phone:651-358-7020
Mailing Address - Fax:612-293-6742
Practice Address - Street 1:2115 COUNTY ROAD D E STE C100
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-5354
Practice Address - Country:US
Practice Address - Phone:651-358-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8623363LP0808X
MN2251271163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health