Individual
MICHELE ANN AMBROSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4306
(215) 590-5657
Mailing address
1032 YE GREATE STREET, BOX 226, GREENWICH, NJ 08323
(856) 451-8586
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
SP008686
PA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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