Connie Jo Gambrel in New Palestine - Psychiatric/mental Health, Child & Adolescent

Connie Jo Gambrel - NPI 1740224401

Connie Jo Gambrel is a Psychiatric/mental Health, Child & Adolescent in New Palestine, Indiana. Connie Jo Gambrel practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Connie Jo Gambrel is 1740224401. The last update date is 2019-12-27.

Connie Jo Gambrel's current location address is 3924 S Village Drive, New Palestine, Indiana. You can contact this provider via phone number 3178615436 and fax number 3178615436. The mailing address for Connie Jo Gambrel is 3924 S Village Drive, New Palestine, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Connie Jo Gambrel
Address 3924 S Village Drive, New Palestine, Indiana
Phone Number 3178615436
Fax Number 3178615436
Sole Proprietor N
Credentials PMHNP-BC

NPI Number Detail

NPI Number 1740224401
Provider Enumeration Date 2006-06-15
Last Updated Date 2019-12-27

Provider Mailing Address Detail

Address 3924 S Village Drive
City New Palestine
State Indiana (IN)
Post Code 46163
Phone Number 3178615436
Fax Number 3178615436

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Child & Adolescent
Taxonomy 163Wp0807X
Licence No 70000110A
Definition:
A psychiatric nurse who cares for infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100323760A IN --

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FAQs about Connie Jo Gambrel

What is the unique 10-digit identification code issued to Connie Jo Gambrel by the Centers for Medicare & Medicaid Services?

The Connie Jo Gambrel has been assigned the NPI (National Provider Identifier) 1740224401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Connie Jo Gambrel?

The Connie Jo Gambrel is physically situated at 3924 S Village Drive, in the city of New Palestine, state of IN, with the postal code 46163.

What is the Connie Jo Gambrel's specialty and taxonomy code?

The Connie Jo Gambrel's specialty is Psychiatric/mental Health, Child & Adolescent, and the corresponding taxonomy code is 163Wp0807X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740224401 to Connie Jo Gambrel?

The Centers for Medicare & Medicaid Services assigned the 1740224401 to Connie Jo Gambrel on 2006-06-15.

As of what date was the information regarding Connie Jo Gambrel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Connie Jo Gambrel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-12-27.

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