Provider Demographics
NPI:1740629773
Name:AMBRUS, EVA (RN)
Entity type:Individual
Prefix:MS
First Name:EVA
Middle Name:
Last Name:AMBRUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MEADE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-1351
Mailing Address - Country:US
Mailing Address - Phone:303-504-1916
Mailing Address - Fax:303-935-5029
Practice Address - Street 1:75 MEADE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-1351
Practice Address - Country:US
Practice Address - Phone:303-504-1916
Practice Address - Fax:303-935-5029
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1617464163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse