MEDICARE: TRACEY DENISE GILBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1417815234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY DENISE GILBERT

Provider Business Mailing Address
First Line	:	2521 WOODWAY AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-2153
Country	:	US
Telephone Number	:	973-267-4709
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	2521 WOODWAY AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-2153
Country	:	US
Telephone Number	:	973-267-4709
Fax Number	:	--

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ TRACEY DENISE GILBERT ” Practice Location

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