Individual
AMY QUINN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 218-8963
Mailing address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 218-8963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213529
OK
363LP0200X
Pediatric Nurse Practitioner
213529
OK
Other
Enumeration date
06/26/2023
Last updated
07/08/2024
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