=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831902782
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RAQUEL LAMBERT MSN, APN, PMHNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2025
-----------------------------------------------------
Last Update Date | 01/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 918 LACEY RD STE E
-----------------------------------------------------
City | FORKED RIVER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08731-1063
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-286-7323
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 918 LACEY RD STE E
-----------------------------------------------------
City | FORKED RIVER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08731-1063
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-286-7323
-----------------------------------------------------
Fax | 855-550-8692
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ15238000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------