MEDICARE: MRS. AMANDA LAMBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	APRN.CNP.0033213	OH

General Provider Information

NPI Number	:	1477246361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA LAMBERT

Provider Business Mailing Address
First Line	:	815 SUPERIOR AVE E STE 1618
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2709
Country	:	US
Telephone Number	:	440-812-1113
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 SUPERIOR AVE E STE 1618
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2709
Country	:	US
Telephone Number	:	440-812-1113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	04/27/2025

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