Provider / Organization | NPI | Date Certified |
---|---|---|
WAYNE R GAMBRELL | 1407507908 | 2022-01-16 |
Wayne R Gambrell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407507908. Registration indicates Wayne R Gambrell is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Mr. Wayne R Gambrell |
Practice Office Address | 1738 BERDAN AVE TOLEDO, OH US |
Practice Office Telephone | 4198701189 |
Mailing Address | 1738 BERDAN AVE TOLEDO, OH 436134610 US |
Business Telephone | 4198701189 |
Code | Practice | License No State |
---|---|---|
164W00000X PRIMARY | Nursing Service Providers Licensed Practical Nurse Licensed Practical Nurse Licensed Practical Nurse Nursing Service Providers | 171613
OH |
193400000X SING | Group Code |