Individual
MRS. CASSILYN N LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3800 VENETIAN WAY, NEWBURGH, IN 47630
(812) 477-6103
(812) 477-4897
Mailing address
3800 VENETIAN WAY, NEWBURGH, IN 47630-8257
(812) 266-2933
(812) 469-3285
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71011340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001573516
BCBS
—
05
—
300053253
—
IN
05
—
7100757790
—
KY
01
—
71011340A
IN STATE LICENSE
IN
01
—
71011340B
INDIANA CSR
IN
Enumeration date
07/07/2021
Last updated
10/05/2023
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