Individual provider · Type 1 NPI

Lisa Ambrose, NP

Adult Health Nurse Practitioner · East Setauket, NY

NPI number 1902279029 Active

Practice location

4 Technology Dr, Suite 120
East Setauket, NY 11733-4080

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF307463-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1902279029

Lisa Ambrose, NP's National Provider Identifier is 1902279029, issued on Nov 11, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Setauket, NY. The record was last updated on Jan 25, 2016.