REX AMBATALI JR. AGACNP-BC, FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Acute Care
Provider Information
- NPI Number
1013308485- Provider Type
- Individual Provider (NPI-1)
- Credentials
- AGACNP-BC, FNP-C
- Status
- Active
Contact & Location
- Address
- 2633 PACIFIC AVE, STOCKTON, CA, 952044429
- Phone
- (209) 944-5530
Specialties & Taxonomies
Nurse Practitioner, Family
License: CA #95001863
Nurse Practitioner, Acute Care
Primary License: CA #95001863