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Contact Information

NATHAN J AMBROSE, PA
5000 AMBASSADOR CAFFERY PKWY STE A
LAFAYETTE, LA70508-6984
 Phone: 337-470-3580
 Fax: 337-470-3586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NATHAN J AMBROSE · (Male)

NPI # 1326694076
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/16/2019
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 324792
  • LA Other 058924-PA CDS
  • LA Other 324792 STATE LICENSE
Hospital affiliation(s)
  • OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC - (Acute Care)
    4801 AMBASSADOR CAFFERY PARKWAY
    LAFAYETTE, LA 70508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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