Healthcare Provider Details

I. General information

NPI: 1811730427
Provider Name (Legal Business Name): EMILY GARNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 S FEDERAL BLVD
SHERIDAN CO
80110-1967
US

IV. Provider business mailing address

543 RALEIGH ST
DENVER CO
80204-4725
US

V. Phone/Fax

Practice location:
  • Phone: 866-628-7828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1655987
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: