| Doctor Name: | MS. MICHELE ANN GAMBLE |
| NPI Number: | 1972621183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APN |
| License Number: | 26NJ00076800 |
| Business Practice Address: | 217 34th St S Lighthouse Medical Care Brigantine, NJ - 082031621 |
| Business Phone Number: | 6092647252 |
| Business Fax Number: | |
| Mailing Address: | 16 Brewhaus Ln, OCEAN VIEW |
| State: | NJ |
| Postal Code: | 082301322 |
| Phone Number: | 6093904866 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00076800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |