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Individual

DENISE D GARVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22119
SC
390200000X
Student in an Organized Health Care Education/Training Program
219747
SC

Other

Enumeration date
04/13/2018
Last updated
08/18/2023
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