Provider Demographics
NPI:1073121562
Name:GILSON, ELIZABETH RACHAEL
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:RACHAEL
Last Name:GILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 N FALMOUTH HWY UNIT 5
Mailing Address - Street 2:
Mailing Address - City:NORTH FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02556-2840
Mailing Address - Country:US
Mailing Address - Phone:401-215-6749
Mailing Address - Fax:
Practice Address - Street 1:350 GIFFORD ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2918
Practice Address - Country:US
Practice Address - Phone:774-801-9074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator