KAYLA MATHIS-GAMBLE ARNP
NPI 1740647957
Nurse Practitioner - Pediatrics in Coconut Creek, FL
Active since January 19, 2016
About Kayla Mathis-gamble Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLA MATHIS-GAMBLE ARNP (NPI 1740647957) is an individual pediatrics provider in Coconut Creek, Florida, licensed in Florida (ARNP-3418252) and active in the NPI registry since January 2016.
NPPES Registry Identity
NPI1740647957
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAYLA MATHIS-GAMBLECredential: ARNP
Location Address1000 COCONUT CREEK BLVDCoconut Creek, FL 33066-1615
Mailing Address1000 Coconut Creek BlvdCoconut Creek, FL 33066-1615 · (954) 201-2453
Phone(954) 201-2453
Sole ProprietorYes
Enumeration DateJanuary 19, 2016
✔ NPI 1740647957 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · ARNP-3418252
1000 COCONUT CREEK BLVD, Coconut Creek, FL 33066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740647957, enumerated as an "individual" on January 19, 2016.
The provider is located at 1000 COCONUT CREEK BLVD COCONUT CREEK, FL 33066 and the phone number is (954) 201-2453.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
