Provider Demographics
NPI:1285950048
Name:GAMBREL, LAURA MICHELLE (RN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:GAMBREL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8707 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7830
Mailing Address - Country:US
Mailing Address - Phone:513-429-0331
Mailing Address - Fax:
Practice Address - Street 1:8707 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7830
Practice Address - Country:US
Practice Address - Phone:513-429-0331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN336644163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse