Provider Demographics
NPI:1457774846
Name:LAMB, HEATHER (ARNP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3448
Mailing Address - Country:US
Mailing Address - Phone:321-843-7440
Mailing Address - Fax:321-843-7497
Practice Address - Street 1:9900 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3448
Practice Address - Country:US
Practice Address - Phone:321-843-7440
Practice Address - Fax:321-843-7497
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9250870363L00000X
FLAPRN9250870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL111395400Medicaid
FLHR673XMedicare PIN