Provider Demographics
NPI:1760943500
Name:AMBRAY, RHEA (NP-C)
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:
Last Name:AMBRAY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3851
Mailing Address - Country:US
Mailing Address - Phone:321-800-2922
Mailing Address - Fax:888-972-6451
Practice Address - Street 1:801 N MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3851
Practice Address - Country:US
Practice Address - Phone:321-800-2922
Practice Address - Fax:888-972-6451
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAG03190027363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology