Rose Ann Marie Garnett

Individual provider Active NPI Licensed Practical Nurse · Lodi, NJ

NPI 1760173462 · NPPES record last updated May 15, 2023

Key facts

NPI
1760173462
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
26NP05382700 (NJ)
Practice address
20 Arnot St
Lodi, NJ 07644-1614
Phone
(973) 470-9494
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
26NP05382700NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Eastern Co Inc Past
since May 21, 2023
Accepting new patients
Walgreen Eastern Co Inc Past
since May 21, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP05382700 NJ Yes

Addresses

Primary practice location

20 Arnot St
Lodi, NJ 07644-1614

Mailing address

455 E 42ND St
Paterson, NJ 07504-1211
Phone (973) 873-4528

Other providers in Lodi, NJ

All providers in Lodi, NJ · Licensed Practical Nurse in New Jersey

Sources for this page

Verify at the official NPI Registry.