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Individual
MS. LAURA ELIZABETH GAMBLE
Active
Individual
MS. LAURA ELIZABETH GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2417
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
APN 2417
SC
363LP0200X
Pediatric Nurse Practitioner
RN 33555
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA33652389
MEDICARE PTAN
SC
05
—
NP0037
—
SC
Enumeration date
09/07/2005
Last updated
09/30/2011
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