NPI Code Details Logo

NPI 1063367076

NPI 1063367076 : ALEXA GABLE : VOORHEES, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063367076
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALEXA GABLE
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/04/2026
-----------------------------------------------------
    Last Update Date     |    03/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2401 E EVESHAM RD 
-----------------------------------------------------
    City                 |    VOORHEES
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08043-9590
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-424-3323
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2401 E EVESHAM RD STE A1 
-----------------------------------------------------
    City                 |    VOORHEES
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08043-9590
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    26NR20144700
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.