Provider Demographics
NPI:1245671387
Name:GABLE, CAROL ANN (RN)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:GABLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9525 GEORGIA AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1439
Mailing Address - Country:US
Mailing Address - Phone:301-585-9773
Mailing Address - Fax:877-748-8793
Practice Address - Street 1:9525 GEORGIA AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1439
Practice Address - Country:US
Practice Address - Phone:301-585-9773
Practice Address - Fax:877-748-8793
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY652071-1163W00000X
MDR200044163W00000X
DCRN1025527163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse