Provider Demographics
NPI:1588367452
Name:LAMBERT, KRISTEN MARIE (RN BSN CPN)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RN BSN CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 BLUE JAY CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-6214
Mailing Address - Country:US
Mailing Address - Phone:617-968-3982
Mailing Address - Fax:
Practice Address - Street 1:401 BLUE JAY CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-6214
Practice Address - Country:US
Practice Address - Phone:617-968-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN260858163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics