Healthcare Provider Details

I. General information

NPI: 1538498274
Provider Name (Legal Business Name): CRYSTAL CHAPMAN LAMBERT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 06/29/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 2ND AVE S
BIRMINGHAM AL
35294-1210
US

IV. Provider business mailing address

1720 2ND AVE S
BIRMINGHAM AL
35294-1210
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-3481
  • Fax: 205-996-7177
Mailing address:
  • Phone: 205-934-3481
  • Fax: 205-996-7177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1-142944
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9253331
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: