Provider Demographics
NPI:1437514353
Name:LAMBERT, EMILY JO (MSN, RN, CPNP-PC)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:JO
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MSN, RN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:17560 N 75TH AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5983
Mailing Address - Country:US
Mailing Address - Phone:623-979-8268
Mailing Address - Fax:
Practice Address - Street 1:17560 N 75TH AVE
Practice Address - Street 2:STE 400
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-5983
Practice Address - Country:US
Practice Address - Phone:623-931-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8235363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics