Doctor Name: | EDYTHE C. GARVEY |
NPI Number: | 1285872606 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP60060843 |
Business Practice Address: | 9631 - 269th St Nw Skagit Regional Clinics-stanwood Stanwood, WA - 98292 |
Business Phone Number: | 3606291600 |
Business Fax Number: | 3606291644 |
Mailing Address: | 1400 E. Kincaid St., Attn: Credentialing MOUNT VERNON |
State: | WA |
Postal Code: | 982744127 |
Phone Number: | 3604282500 |
Fax Number: | 3604286485 |
NPI Enumeration Date: | 01/22/2009 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60060843 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |