Individual
GARRETT SHRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-6100
Mailing address
PO BOX 1815, HUNTINGTON BEACH, CA 92647-1815
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012090
CA
Other
Enumeration date
07/08/2019
Last updated
09/09/2021
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