Evelyne Ambroise, LPN in Hiram, GA - Licensed Practical Nurse

Evelyne Ambroise, LPN is a Licensed Practical Nurse based in Hiram, Georgia. Evelyne Ambroise is licensed to practice in Georgia (license number LPN074773) and her current practice location is 111 Eagles Nest Dr, 0, Hiram, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 635-8173.

NPI number for Evelyne Ambroise is 1598943383 and her current mailing address is 111 Eagles Nest Dr, 0, Hiram, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598943383.

Contact Information

	Evelyne Ambroise, LPN
	111 Eagles Nest Dr, 0, Hiram, GA 30141-3562
	(770) 635-8173
	(770) 635-8173

Provider's Profile

Full Name	Evelyne Ambroise
Gender	Female
Speciality	Licensed Practical Nurse
Location	111 Eagles Nest Dr, Hiram, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1598943383
Provider Enumeration Date: 02/05/2008
Last Update Date: 02/05/2008

Medical Identifiers

Medical identifiers for Evelyne Ambroise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598943383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	LPN074773 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evelyne Ambroise is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Evelyne Ambroise, LPN 111 Eagles Nest Dr, 0, Hiram, GA 30141-3562 Ph: (770) 635-8173	Evelyne Ambroise, LPN 111 Eagles Nest Dr, 0, Hiram, GA 30141-3562 Ph: (770) 635-8173

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Evelyne Ambroise, LPN - Licensed Practical Nurse in Hiram, GA