Individual
MS. NICOLE A GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6 JUNIPER HILL CT, CROMWELL, CT 06416-1844
(860) 814-7248
Mailing address
6 JUNIPER HILL CT, CROMWELL, CT 06416-1844
(860) 814-7248
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44153
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
01
—
000000000
N/A
CT
Enumeration date
03/11/2022
Last updated
03/11/2022
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