Individual
MS. VIVIAN BURTON GAMBLES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 ANDREWS AVENUE, FORT RUCKER, AL 36362
(334) 255-7387
(334) 255-7716
Mailing address
301 ANDREWS AVENUE, FORT RUCKER, AL 36362
(334) 255-7387
(334) 255-7716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000005810
TN
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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