Provider Demographics
NPI:1659329936
Name:GAMBILL, MARSHA KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:KAY
Last Name:GAMBILL
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 1:243 S WAYNESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:OREGONIA
Mailing Address - State:OH
Mailing Address - Zip Code:45054-9402
Mailing Address - Country:US
Mailing Address - Phone:513-932-5322
Mailing Address - Fax:513-932-5322
Practice Address - Street 1:243 S WAYNESVILLE RD
Practice Address - Street 2:
Practice Address - City:OREGONIA
Practice Address - State:OH
Practice Address - Zip Code:45054-9402
Practice Address - Country:US
Practice Address - Phone:513-932-5322
Practice Address - Fax:513-932-5322
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 150513163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse