MARCIE L. AMBROSE (NPI# 1902135650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902135650 |
| Entity Type | Individual |
| Full Name | MARCIE L. AMBROSE |
| Credential | FNP |
| Practice Address |
2703 N Ponce De Leon Blvd Saint Augustine FL 32084-2603 |
| Practice Telephone | 9048242838 |
| Mailing Telephone | 9048242838 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2015-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F336082 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9397621 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2703 N PONCE DE LEON BLVD |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32084-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737598 | Gabriela Elena Fratila | Nurse Practitioner | 367 Los Caminos St, Saint Augustine, FL 32095-7415 | 2020-07-10 |
| 1780214767 | Chastity Haltam | Nurse Practitioner | 113 Islander Dr, Saint Augustine, FL 32080-6001 | 2020-01-18 |
| 1073094314 | Stephanie Digirolamo | Nurse Practitioner | 167 Silver Glen Ave, Saint Augustine, FL 32092-2468 | 2018-08-24 |
| 1154856037 | Michelle Kessler | Nurse Practitioner | 72 Honey Branch Ln, Saint Augustine, FL 32092-0822 | 2017-04-27 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1366812380 | Kelly Witbeck | Nurse Practitioner | 1235 Stonehedge Trail Ln, Saint Augustine, FL 32092-1061 | 2015-10-02 |
| 1063817948 | Eli Billeter | Nurse Practitioner | 128 Moultrie Crossing Ln, Saint Augustine, FL 32086-5242 | 2014-11-04 |
| 1346644572 | Marla Ruth Capes | Nurse Practitioner | 559 W Twincourt Trl Unit 604, Saint Augustine, FL 32095-8805 | 2014-10-17 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1841623386 | Kristyn Alease Miller | Nurse Practitioner | 5001 Clayton Ct, Saint Augustine, FL 32092-3688 | 2013-08-20 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on MARCIE L. AMBROSE.
| 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.