Provider Demographics
NPI:1992375513
Name:LAMB, AMBER (NP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:OLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16618 BLACK OAK CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-2533
Mailing Address - Country:US
Mailing Address - Phone:303-435-8151
Mailing Address - Fax:
Practice Address - Street 1:16618 BLACK OAK CT
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-2533
Practice Address - Country:US
Practice Address - Phone:303-435-8151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-26
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0178434163WE0003X
COAPN.0997159-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0997159-NPOtherAPN LICENSE