Provider Demographics
NPI:1134915234
Name:CHILDERS, GABRIELLA ROSE (PA-C)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:ROSE
Last Name:CHILDERS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 DAILEY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3803
Mailing Address - Country:US
Mailing Address - Phone:508-918-2682
Mailing Address - Fax:
Practice Address - Street 1:488 DAILEY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3803
Practice Address - Country:US
Practice Address - Phone:508-918-2682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant