Provider Demographics
NPI:1750898441
Name:AMBROSINI, MARIA ANDRUZZI (FNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANDRUZZI
Last Name:AMBROSINI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24422 AVENIDA DE LA CARLOTA STE 300
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3628
Mailing Address - Country:US
Mailing Address - Phone:949-599-2423
Mailing Address - Fax:949-599-2430
Practice Address - Street 1:333 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2179
Practice Address - Country:US
Practice Address - Phone:949-347-7200
Practice Address - Fax:949-347-7217
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCAMBR-6FP0U6363L00000X
CA95017172363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner