Healthcare Provider Details

I. General information

NPI: 1306767488
Provider Name (Legal Business Name): AMBRO PRIMARY CARE AND CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 E PATAPSCO AVE
BALTIMORE MD
21225-1931
US

IV. Provider business mailing address

509 E PATAPSCO AVE
BALTIMORE MD
21225-1931
US

V. Phone/Fax

Practice location:
  • Phone: 443-799-1661
  • Fax:
Mailing address:
  • Phone: 443-799-1661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROSSANA M WRIGHT
Title or Position: NP
Credential: NP
Phone: 443-799-1660