Provider Demographics
NPI:1922113042
Name:LAMBIE, MYRTLE JOYCE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:MYRTLE
Middle Name:JOYCE
Last Name:LAMBIE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19506 HIGHWAY 59 N
Mailing Address - Street 2:320
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4384
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19506 HIGHWAY 59 N
Practice Address - Street 2:320
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4384
Practice Address - Country:US
Practice Address - Phone:281-540-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX027111367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
8B8085Medicare UPIN