Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9264960 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 3636-033 | WI |
N | 363LA2200X | Nurse Practitioner - Adult Health | 900407 | NC |
N | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9264960 | FL |
NPI | 1023126497 |
---|---|
Provider Name | Cynthia Beth Gamble |
First Address | Venice, FL 34285-3209 |
Second Address | Venice, FL 34285-3209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 13/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014634700 | (05) | FL |
7000981 | (05) | NC |
NP0762 | (05) | SC |
Q06131 | (02) |