LISA AMBROSE NP NPI 1902279029

NPI Information

NPI: 1902279029
Provider Name: LISA AMBROSE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
4 TECHNOLOGY DR
SUITE 120
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 246-8289
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Lisa Ambrose, NP is an adult health nurse practitioner in East Setauket, NY. Lisa Ambrose, NP NPI is 1902279029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 TECHNOLOGY DR
SUITE 120
EAST SETAUKET, NY
ZIP 11733-080
Phone: (631) 246-8289

The NPI 1902279029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2015 and was last updated on 1/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F307463-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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