Wellformed AI

NPI 1932368362 · live from the CMS NPI Registry

Maria Dicenso Ambrose, CPNP

Nurse Practitioner, Pediatrics in Boston, MA. National Provider Identifier 1932368362, active.

NPI record

NPI1932368362 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location300 Longwood Ave, Plastic Surgery Dept. Hunnewell One, Boston, MA 02115
Practice phone617-355-6919
EnumeratedJune 2, 2008
Last updatedJuly 24, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X256546 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.