Provider Demographics
NPI:1942631015
Name:AMBROSE, CHRISTINE BUSSIERE (ND)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BUSSIERE
Last Name:AMBROSE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:ELIZABETH
Other - Last Name:BUSSIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:249 ISLINGTON STREET
Mailing Address - Street 2:#11
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-501-9005
Mailing Address - Fax:603-297-0773
Practice Address - Street 1:249 ISLINGTON ST APT 11
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4266
Practice Address - Country:US
Practice Address - Phone:603-501-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath