Individual
KIANA DANIELLE GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP ,APRN-CNP,AGNP-C
Contact information
Practice address
2065 W RIVERSTONE DR STE 104, COEUR D ALENE, ID 83814-5699
(509) 564-0080
Mailing address
999 E HURRICANE DR, HAYDEN, ID 83835-0028
(509) 294-1875
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
7671063
ID
Other
Enumeration date
06/26/2025
Last updated
03/23/2026
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