Individual
ANNA MARIE GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 580-2001
Mailing address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 580-2001
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
51315
ID
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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