NPI 1902912116 · live from the CMS NPI Registry
Christa Elizabeth Ambrose, DO
Family Medicine in Boulder, CO. National Provider Identifier 1902912116, active.
NPI record
| NPI | 1902912116 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2525 13th St, Boulder, CO 80304 |
| Practice phone | 303-449-6050 |
| Mailing address | 1735 S Public Rd Ste 203, Lafayette, CO 80026 |
| Enumerated | August 21, 2006 |
| Last updated | May 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | DR.0044807 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.