Provider Demographics
NPI:1770333528
Name:AMBRUS, KATHY DENISE
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:DENISE
Last Name:AMBRUS
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 1:1920 HANCHETT ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5528
Mailing Address - Country:US
Mailing Address - Phone:954-471-9356
Mailing Address - Fax:
Practice Address - Street 1:1920 HANCHETT ST UNIT 1
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5528
Practice Address - Country:US
Practice Address - Phone:954-471-9356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide