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NPI Code Detail

MEDICARE: CARLESE GAMBLE

MEDICARE:   CARLESE  GAMBLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN500015950DC

General Provider Information

NPI Number : 1144153610
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLESE GAMBLE
Provider Business Mailing Address
First Line : 915 RHODE ISLAND AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-4153
Country : US
Telephone Number : 202-232-6100
Fax Number : 202-644-7024
Provider Business Practice Location Address
First Line : 915 RHODE ISLAND AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-4153
Country : US
Telephone Number : 202-232-6100
Fax Number : 202-644-7024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ CARLESE GAMBLE ” Practice Location

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