Provider Demographics
NPI:1417669342
Name:LAMB, BRANDI (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 WARD NEAL RD
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TX
Mailing Address - Zip Code:75414-3389
Mailing Address - Country:US
Mailing Address - Phone:903-312-2800
Mailing Address - Fax:
Practice Address - Street 1:1001 SARA SWAMY DR STE 220
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-3124
Practice Address - Country:US
Practice Address - Phone:903-892-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1103900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner