Gambino, Katherine Elizabeth
Gambino, Katherine Elizabeth is an individual health care provider with primary practice located at 123 Capcom Ave Ste 105 , Wake Forest NC 27587-6517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gambino, Katherine Elizabeth can be contacted via phone (919) 263-8510.Contact Information
Primary practice address
123 Capcom Ave Ste 105
Wake Forest NC 27587-6517
Phone: (919) 263-8510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-04451 | North Carolina |
Profile Details
| NPI number | 1285970236 |
|---|---|
| LBN Legal business name | Gambino, Katherine Elizabeth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2012 |
| Last updated | Oct 5th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285970236 | NPPES |
| North Carolina | MEDICAID | 1285970236 |
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