Provider Demographics
NPI:1447982830
Name:LAMB, ASHLEY LOUISE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LOUISE
Last Name:LAMB
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LOUISE
Other - Last Name:OSIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6450 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-1138
Mailing Address - Country:US
Mailing Address - Phone:248-736-0265
Mailing Address - Fax:
Practice Address - Street 1:116 MILL ST
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-2851
Practice Address - Country:US
Practice Address - Phone:810-701-8088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-26
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704362807363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner