Individual
CHANDRA N AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2600 BELLE CHASSE HWY, B-2, TERRYTOWN, LA 70056-7156
(504) 349-2273
(504) 349-6160
Mailing address
2600 BELLE CHASSE HWY, B-2, TERRYTOWN, LA 70056-7156
(504) 349-2273
(504) 349-6160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06796
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342029
—
LA
01
—
AP06796
APRN
LA
Enumeration date
06/19/2013
Last updated
01/17/2014
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