Ambrose, Nathan J

Ambrose, Nathan J is an individual health care provider with primary practice located at 5000 Ambassador Caffery Pkwy Ste A , Lafayette LA 70508-6984. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Ambrose, Nathan J can be contacted via phone (337) 470-3580.

Contact Information

Primary practice address
5000 Ambassador Caffery Pkwy Ste A Lafayette LA 70508-6984
Phone: (337) 470-3580
Fax: (337) 470-3586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 324792 Louisiana

Profile Details

NPI number 1326694076
LBN Legal business name Ambrose, Nathan J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326694076 NPPES
Louisiana Other 058924-PA CDS
Louisiana Other 324792 CDS

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