Healthcare Provider Details

I. General information

NPI: 1164916300
Provider Name (Legal Business Name): ELLEN L. LAMBERT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 01/30/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 OLD SCHOOLHOUSE ROAD
FOREST HILL WV
24935
US

IV. Provider business mailing address

PO BOX 590
UNION WV
24983-0590
US

V. Phone/Fax

Practice location:
  • Phone: 276-688-4331
  • Fax: 276-688-4336
Mailing address:
  • Phone: 304-308-4358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024176174
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: