Provider Demographics
NPI:1093717233
Name:LAMBDIN, SHEILA DENISE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:DENISE
Last Name:LAMBDIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 WOLF CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40769
Mailing Address - Country:US
Mailing Address - Phone:606-280-1643
Mailing Address - Fax:
Practice Address - Street 1:475 N HIGHWAY 25 W STE 100
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:KY
Practice Address - Zip Code:40769-1576
Practice Address - Country:US
Practice Address - Phone:606-549-2930
Practice Address - Fax:606-549-3036
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4431P363L00000X
TN16379363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000529383OtherANTHEM
TNQ014088Medicaid
KYC60103OtherCUMBERLAND HEALTHCARE
KY78013315Medicaid
KY00276002Medicare PIN
KY78013315Medicaid