Individual
NANCY GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
438 W MAIN STREET, SALEM, VA 24153
(540) 378-5276
(540) 342-4373
Mailing address
PO BOX 1789, ROANOKE, VA 24008
(540) 855-5122
(540) 342-4373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001052029
VA
363L00000X
Nurse Practitioner
0024052029
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024052029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019249
—
VA
Enumeration date
02/06/2006
Last updated
01/14/2010
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