Rosa Mae Garner, LPN

Individual provider Active NPI Licensed Practical Nurse · Amherst, VA

NPI 1083883300 · NPPES record last updated Feb 21, 2008

Key facts

NPI
1083883300
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
0002052173 (VA)
Practice address
454 Mansion Way
Amherst, VA 24521
Phone
(434) 846-0917
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0002052173VAMDLicensed Practical Nurse
1046792OASAVAMDAdult Companion

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0002052173 VA Yes
Adult Companion 372600000X 1046792OASA VA

Addresses

Primary practice location

454 Mansion Way
Amherst, VA 24521

Mailing address

454 Mansion Way
Amherst, VA 24521
Phone (434) 846-0917

Other providers in Amherst, VA

All providers in Amherst, VA · Licensed Practical Nurse in Virginia

Sources for this page

Verify at the official NPI Registry.