Healthcare Provider Details

I. General information

NPI: 1689690059
Provider Name (Legal Business Name): VICKIE J LAMBERT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICKIE JO DOLAN APRN

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988102 NEBRASKA MEDICAL CTR
OMAHA NE
68198-4129
US

IV. Provider business mailing address

988102 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8102
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-3568
  • Fax: 402-559-7592
Mailing address:
  • Phone: 402-552-6073
  • Fax: 402-559-7592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number110777
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number110777
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number110777
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: