Nathan J Ambrose, PA
Nathan J Ambrose, PA is a Physician Assistant in Lafayette, Louisiana. Qualified in 2020, 6 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 6
- Licensed in
- LA
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
5000 Ambassador Caffery Pkwy Ste ALafayette, LA 70508-6984
Phone: (337) 470-3580
Fax: (337) 470-3586
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 — (810) 625-4218
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 324792 (LA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326694076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | August 16, 2019 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | November 9, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Intermountain Medical Group Grand Junction, Llc — 299 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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