Individual
MS. KRISTINE ANN GARVERICK
Active
Individual
MS. KRISTINE ANN GARVERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP005724C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105163
JOHNS HOPKINS
PA
01
—
1551701
GATEWAY-WMG
PA
01
—
1916410
HIGHMARK BLUE SHIELD
PA
01
—
50018453
CAPITAL BLUE CROSS-WMG
PA
01
—
61901002
CAREFIRST MD BCBS
MD
Enumeration date
07/06/2006
Last updated
07/18/2016
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