Provider Demographics
NPI:1417185950
Name:GILBERT, ELEANOR MOORE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:MOORE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2973 SOMERTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2072
Mailing Address - Country:US
Mailing Address - Phone:216-371-1924
Mailing Address - Fax:216-371-2583
Practice Address - Street 1:2973 SOMERTON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-2072
Practice Address - Country:US
Practice Address - Phone:216-371-1924
Practice Address - Fax:216-371-2583
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 164954163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health