Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Occupational Health |
363LX0106X | 50 | Nurse Practitioner |
| NPI # | 1538759543 |
| LBN Legal business name | AMBROSE INJURY AND WELLNESS, A NURSING CORP |
| Authorized official | JOSEPH AMBROSE - (PRES) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/23/2021 |
| Last updated | 01/23/2021 - About 5 years ago |
| Identifiers | n/a |
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