Individual
GABRIELLA ROSE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1401
(508) 421-1490
Mailing address
281 LINCOLN ST, PROVIDER ENROLLMENT, WORCESTER, MA 01605-2138
(508) 421-1401
(508) 421-1490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
05/13/2026
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