Sandra A Ambrose, NUTRITIONIST
Nutritionist, Nutrition, Education in Brockton, Massachusetts
1407918758- Practice location
- 130 Quincy Ave, Brockton, MA 02302-2803
- Phone
- 508-941-6412
- Fax
- 508-941-6413
- Last updated
- May 27, 2020
Sandra A Ambrose is a Nutritionist, Nutrition, Education based in Brockton, MA. Sandra A Ambrose practices in Brockton, MA and has the professional credentials of NUTRITIONIST. The NPI Number for Sandra A Ambrose is 1407918758 and holds a License No. 1312 (MA). The current practice location address for Sandra A Ambrose is 130 Quincy Ave, Brockton, MA 02302-2803 and can be reached out via phone at 508-941-6412 and via fax at 508-941-6413.
Provider Profile Details
- NPI Number
- 1407918758
- Provider Name
- Sandra A Ambrose
- Credential
- NUTRITIONIST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Quincy Ave, Brockton, MA 02302-2803
- Phone Number
- 508-941-6412
- Fax Number
- 508-941-6413
- Primary Taxonomy
- Nutritionist, Nutrition, Education · 133NN1002X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 14, 2006
- Last Update Date
- May 27, 2020
- Certification Date
- May 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Quincy Ave
Brockton, MA 02302-2803 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-2803
- Phone Number
- 508-941-6412
- Fax Number
- 508-941-6413
Provider Business Mailing Address Details
- Address
- 130 Quincy Ave
Brockton, MA 02302-2803 - City
- Brockton
- State
- MA
- Zip
- 02302-2803
- Phone Number
- 508-941-6412
- Fax Number
- 508-941-6413
License Information
- License Number
- 1312
- License State
- MA
- Taxonomy
- Nutritionist, Nutrition, Education · 133NN1002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sandra A Ambrose, NUTRITIONIST?
The NPI number of Sandra A Ambrose, NUTRITIONIST is 1407918758. It was assigned on December 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Sandra A Ambrose, NUTRITIONIST?
Sandra A Ambrose, NUTRITIONIST is registered under the primary taxonomy Nutritionist, Nutrition, Education (code 133NN1002X), licensed in MA under license number 1312.
Where does Sandra A Ambrose, NUTRITIONIST practice?
The practice location is 130 Quincy Ave, Brockton, MA 02302-2803. The office can be reached at 508-941-6412 (phone) or 508-941-6413 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407918758 directly on the NPPES registry website.