Provider Demographics
NPI:1124070297
Name:GAMBLE, JULIA LYNN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:LYNN
Last Name:GAMBLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:JULIA
Other - Middle Name:LYNN
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 JULIA LN
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1482
Mailing Address - Country:US
Mailing Address - Phone:781-275-9175
Mailing Address - Fax:781-275-9829
Practice Address - Street 1:200 SPRINGS RD
Practice Address - Street 2:BLD 8, 2ND FLOOR
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1114
Practice Address - Country:US
Practice Address - Phone:781-275-9175
Practice Address - Fax:781-275-9829
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262461163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care