Provider Demographics
NPI:1386521862
Name:GILBERT, MARLYN FELICIANO
Entity type:Individual
Prefix:
First Name:MARLYN
Middle Name:FELICIANO
Last Name:GILBERT
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 1:338 ROCKRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-7016
Mailing Address - Country:US
Mailing Address - Phone:830-377-2288
Mailing Address - Fax:
Practice Address - Street 1:338 ROCKRIDGE ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-7016
Practice Address - Country:US
Practice Address - Phone:830-377-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX875721163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management