Provider Demographics
NPI:1609585041
Name:GABLE, MEGAN MAY (LPN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MAY
Last Name:GABLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 S FERDINAND AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8009
Mailing Address - Country:US
Mailing Address - Phone:813-272-3090
Mailing Address - Fax:
Practice Address - Street 1:8507 N 20TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-2007
Practice Address - Country:US
Practice Address - Phone:754-707-2512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5241481164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse