MEDICARE: MRS. CIERA GIANNA GARRICK RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WE0003X	Emergency Registered Nurse	745799	NY

General Provider Information

NPI Number	:	1093673568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CIERA GIANNA GARRICK RN

Provider Business Mailing Address
First Line	:	3530 LONG BEACH RD APT 53
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5725
Country	:	US
Telephone Number	:	718-308-1679
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 LONG BEACH RD APT 53
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-5725
Country	:	US
Telephone Number	:	718-308-1679
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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