Healthcare Provider Details

I. General information

NPI: 1093717233
Provider Name (Legal Business Name): SHEILA DENISE LAMBDIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 N HIGHWAY 25 W STE 100
WILLIAMSBURG KY
40769-1576
US

IV. Provider business mailing address

PO BOX 390
WILLIAMSBURG KY
40769-0390
US

V. Phone/Fax

Practice location:
  • Phone: 606-549-2930
  • Fax: 606-549-3036
Mailing address:
  • Phone: 606-549-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number16379
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4431P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: