Provider Demographics
NPI:1306346101
Name:D'AMBROSI, JANICE LYNN (CRNP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:LYNN
Last Name:D'AMBROSI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S DUFFY RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2709
Mailing Address - Country:US
Mailing Address - Phone:724-285-1988
Mailing Address - Fax:724-256-8752
Practice Address - Street 1:206 S DUFFY RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2709
Practice Address - Country:US
Practice Address - Phone:724-285-1988
Practice Address - Fax:724-256-4107
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty