Provider Demographics
NPI:1801299045
Name:GAMBRELL, CHRISTINE MARIE (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:GAMBRELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 QUADRANGLE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8281
Mailing Address - Country:US
Mailing Address - Phone:888-849-7379
Mailing Address - Fax:
Practice Address - Street 1:3958 BROWN PARK DR STE D
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1160
Practice Address - Country:US
Practice Address - Phone:888-849-7379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026642363LF0000X
IN71007782B363LF0000X
MARN2363364363LF0000X
KY3008935363LF0000X, 363LF0000X
NC5016623363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN224350136Medicaid
12752410OtherCAQH
KY7100321730Medicaid
OH0405334Medicaid