Samara Ambrosio
Nurse Practitioner, Family in Rocky Hill, CT. Individual provider (NPI-1).
NPI number1255700696
StatusActive
Last updated in NPPESSep 16, 2015
Details
- NPI
- 1255700696
- Entity type
- Individual (NPI-1)
- Name
- Samara Ambrosio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2015
- Last updated
- Sep 16, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 006294 | CT | Yes |
Practice location
400 Capital Blvd Fl 3Rocky Hill, CT 06067-3576
Phone 888-697-9058
Mailing address
8 Harvest Hill RdWest Simsbury, CT 06092-2221
Phone 860-882-8857
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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