Gambill, Maribeth

Gambill, Maribeth is an sole proprietor health care provider with primary practice located at 616 S Washington St , Bastrop LA 71220-5035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gambill, Maribeth can be contacted via phone (318) 283-3990.

Contact Information

Primary practice address
616 S Washington St Bastrop LA 71220-5035
Phone: (318) 283-3990
Fax: (318) 239-8990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A001549 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP08704 Louisiana

Profile Details

NPI number 1144334863
LBN Legal business name Gambill, Maribeth
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated May 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144334863 NPPES
Louisiana MEDICAID 2411861

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