Provider Demographics
NPI:1972961092
Name:LAMBAREN, KRISTY RENEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:RENEE
Last Name:LAMBAREN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:RENEE
Other - Last Name:SALCIDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:11382 QUIVAS WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2619
Mailing Address - Country:US
Mailing Address - Phone:303-829-0783
Mailing Address - Fax:
Practice Address - Street 1:836 S ARROYO PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105
Practice Address - Country:US
Practice Address - Phone:888-963-7629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95003175363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily