Provider Demographics
NPI:1538491816
Name:GAMBILL, PAMELA JOANN (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JOANN
Last Name:GAMBILL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6016 BETHANIA TOBACCOVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PFAFFTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27040-9013
Mailing Address - Country:US
Mailing Address - Phone:336-496-4691
Mailing Address - Fax:
Practice Address - Street 1:6016 BETHANIA TOBACCOVILLE RD
Practice Address - Street 2:
Practice Address - City:PFAFFTOWN
Practice Address - State:NC
Practice Address - Zip Code:27040-9013
Practice Address - Country:US
Practice Address - Phone:336-496-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127679163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health