# AMBROSIA HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033896774
- **Authorized official:** MIRIAM JOHNSON (CEO)
- **Authorized official phone:** (862) 438-3692

## Contact information

- **Practice address:** 101 EISENHOWER PKWY STE 300, UNIT 3247, ROSELAND, NJ 07068
- **Practice address phone:** (862) 438-3692
- **Mailing address:** 172 FELA DR, CINNAMINSON, NJ 08077-1588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2023
- **Last updated:** 08/08/2023