Individual provider · Type 1 NPI
Michael Mercado Ambal
Family Nurse Practitioner · Corona, CA
NPI number
1114210515
Active
Practice location
1689 Via Sevilla St
Corona, CA 92881-0778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP20137 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114210515
Michael Mercado Ambal's National Provider Identifier is 1114210515, issued on May 18, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Corona, CA. The record was last updated on May 18, 2011.