Anna Marie Garvin, RN
Individual provider Active NPI General Practice Registered Nurse · Mountain Home, ID
NPI 1174149264 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1174149264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 51315 (ID)
- Practice address
- 815 N 6TH E
Mountain Home, ID 83647-2207 - Phone
- (208) 580-2001
- NPI assigned
- Jun 24, 2020
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51315 | ID | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 51315 | ID | Yes |
Addresses
Primary practice location
815 N 6TH E
Mountain Home, ID 83647-2207
Mailing address
815 N 6TH E
Mountain Home, ID 83647-2207
Phone (208) 580-2001
Other providers in Mountain Home, ID
- Thressa K. Fogleman
- Fran'S Affordable Rides
- Weston Vern Frandsen
- Karen Anne Galvan
- Alejandra Garcia
- Darin K Gere
- Jeffrey Eugene Gibbons
- Dale Robert Gibbs
- Jacob Gibson
- Steven Gigli
All providers in Mountain Home, ID · General Practice Registered Nurse in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.