Provider Demographics
NPI:1578142006
Name:LAMBERT, KAREY GREEN (RN)
Entity Type:Individual
Prefix:
First Name:KAREY
Middle Name:GREEN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 N WILSON ST
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32536-3438
Mailing Address - Country:US
Mailing Address - Phone:850-557-0898
Mailing Address - Fax:
Practice Address - Street 1:212 N WILSON ST
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-3438
Practice Address - Country:US
Practice Address - Phone:850-306-3003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2981042163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse