Provider Demographics
NPI:1316427222
Name:LAMBERT, ANGELYN MARIE (RN)
Entity type:Individual
Prefix:
First Name:ANGELYN
Middle Name:MARIE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32021 AVENUE E APT 16
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-1776
Mailing Address - Country:US
Mailing Address - Phone:909-810-0508
Mailing Address - Fax:
Practice Address - Street 1:32021 AVENUE E APT 16
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-1776
Practice Address - Country:US
Practice Address - Phone:909-810-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA765968163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health