Individual
MS. ELIZABETH ANNE GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
11133 DUNN RD, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63136-6163
(800) 862-9980
(314) 362-1185
Mailing address
660 S EUCLID AVE, CB 8054, SAINT LOUIS, MO 63110-1010
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2023009845
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420122260
—
MO
Enumeration date
07/09/2021
Last updated
06/21/2023
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