MRS. LADEANA WALKER GAMBILL FNP-C NPI 1538489414

NPI Information

NPI: 1538489414
Provider Name: MRS. LADEANA WALKER GAMBILL, FNP-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
10420 PARK RD STE 300
CHARLOTTE, NC
ZIP 28210
Phone: (980) 237-4766
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MRS. Ladeana Walker Gambill, FNP-C is a psychiatric/mental health nurse practitioner in Charlotte, NC. MRS. Ladeana Walker Gambill, FNP-C NPI is 1538489414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10420 PARK RD STE 300
CHARLOTTE, NC
ZIP 28210-502
Phone: (980) 237-4766
Fax: (980) 404-2274

The NPI 1538489414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5004812	NORTH CAROLINA	Yes
2	363L00000X	Nurse Practitioner		5004812	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7004574	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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