Healthcare Provider Details

I. General information

NPI: 1639326119
Provider Name (Legal Business Name): ANDREA VICKI LAMBERT CNM, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 S 1300 E SUITE 310
SANDY UT
84094-3766
US

IV. Provider business mailing address

11724 S STATE ST
DRAPER UT
84020-7163
US

V. Phone/Fax

Practice location:
  • Phone: 801-501-3300
  • Fax:
Mailing address:
  • Phone: 801-576-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number321308-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number321308-4402
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number321308-4402
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: