D'Ambra, Charae J.

D'Ambra, Charae J. is an individual health care provider with primary practice located at 323 Lowell St , Andover MA 01810-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. D'Ambra, Charae J. can be contacted via phone (978) 783-5000.

Contact Information

Primary practice address
323 Lowell St Andover MA 01810-4501
Phone: (978) 783-5000
Fax: (978) 313-8180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 062444-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 231679 Massachusetts

Profile Details

NPI number 1912199217
LBN Legal business name D'Ambra, Charae J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated Oct 23rd, 2018 - about 7 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 1912199217 NPPES
New Hampshire MEDICAID 30348060

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