Provider Demographics
NPI:1669228300
Name:GILBERT, REBECCA S
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:S
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 1:2112 PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9422
Mailing Address - Country:US
Mailing Address - Phone:740-835-6194
Mailing Address - Fax:
Practice Address - Street 1:2112 PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9422
Practice Address - Country:US
Practice Address - Phone:740-835-6194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide