CELYNNE FLEUR AMBROSE


Address: 41 Mall Road, Lahey Clinic, Inc., Burlington, MA 01805
Phone: 7817448834

CELYNNE FLEUR AMBROSE (NPI# 1326288606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326288606
Entity Type Individual
Full Name CELYNNE FLEUR AMBROSE
Credential NP
Practice Address 41 Mall Road
Lahey Clinic, Inc.
Burlington
MA 01805
Practice Telephone 7817448834
Practice Fax Number 7817445253
Mailing Telephone 7817448834
Mailing Fax Number 7817445253
Enumeration Date 2009-02-26
Last Update Date 2013-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN272817 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 110084944A 05

Office Location

Street Address 41 MALL ROAD
LAHEY CLINIC, INC.
City BURLINGTON
State MA
Zip Code 01805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750376380 Darryl D Esakof Internal Medicine 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 2005-09-20
1770109258 Vivek Sinanan Student in an Organized Health Care Education/Training Program 41 Mall Road, Burlington, MA 01805 2020-06-22
1023671351 Anne Marcia Woodbury Nurse Anesthetist, Certified Registered 41 Mall Road, Burlington, MA 01805 2019-04-22
1902385099 Bridget Watts Nurse Practitioner 41 Mall Road, Burlington, MA 01805 2018-08-09
1710464300 Lynn Breymer Registered Nurse 41 Mall Road, Lahey Clinic, Inc., Burlington, MA 01805-0001 2018-07-26
1154840130 Melissa Ann Cucchi Nurse Practitioner 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 2017-09-11
1386168532 Kimberly Ann Kisil Social Worker 41 Mall Road, Burlington, MA 01803 2017-07-31
1942722939 Ali Al Jabri Student in an Organized Health Care Education/Training Program 41 Mall Road, Burlington, MA 02155 2017-07-11
1881114197 Markus Ricci Student in an Organized Health Care Education/Training Program 41 Mall Road, Burlington, MA 01805 2017-06-27
1902326200 David Mintz Student in an Organized Health Care Education/Training Program 41 Mall Road, Graduate Medical Education, Burlington, MA 01805 2017-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750867909 Natalie Teresa Dal'bo Student in an Organized Health Care Education/Training Program 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 2018-07-11
1043710791 Beth Israel Lahey Health Primary Care, Inc. Urology Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 2018-02-20
1902240872 Lloyd Jones Jr. Student in an Organized Health Care Education/Training Program 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 2013-04-23
1508020470 Russell Andrew Baur Internal Medicine Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 2008-07-10
1356491237 Jacob Magee Sands Internal Medicine 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 2007-01-11
1588757108 Richard Alan Wold Nurse Anesthetist, Certified Registered Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 2006-10-02
1841302387 David M. Venesy Internal Medicine Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 2006-08-31
1790750354 Cara J. Foss Nurse Practitioner Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 2006-02-17
1225022155 Laura Saluja Internal Medicine Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 2005-09-07
1770588923 Gene Wong Radiology 41 Mall Rd, Burlington, MA 01805 2005-06-15
Find all providers in zip 01805

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710469481 Nicholas A Fredette Nurse Practitioner 28 S. Williams St., Burlington, VT 05401 2018-08-30
1487173860 Kameron Escajeda Nurse Practitioner 128 Lakeside Ave Ste 260, Burlington, VT 05401-5911 2017-09-16
1093257008 Chetna Tailor Nurse Practitioner 811 Sunset Rd # 101, Burlington, NJ 08016-3645 2016-11-08
1003223678 Gina Peek Nurse Practitioner 1550 Oxen Ln Se, Burlington, KS 66839-9127 2014-07-16
1407196181 Patricia Wagoner Clapp Nurse Practitioner 906 N Anthony St, Burlington, NC 27217-6663 2013-02-18
1396021374 Medijn Associates Nurse Practitioner 73 Jennifer Ln, Burlington, NJ 08016-1145 2011-10-23
1821266917 Sara Robertson Nurse Practitioner 2716 Troxler Rd, Burlington, NC 27215-9187 2008-02-12
1730237074 Tara M Chasnoff Nurse Practitioner 65 Caroline St, Burlington, VT 05401-4811 2007-01-05
1265455976 Kristina Taylor Carr Nurse Practitioner 3504 Raccoon Run Dr, Burlington, NC 27215-9343 2006-07-25
1477501583 Elizabeth Helen Burns Nurse Practitioner Fletcher Allen Health Care, 111 Colchester Ave, Burlington, VT 05401 2006-05-04
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Competitor

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City BURLINGTON
Zip Code 01805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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