Healthcare Provider Details
I. General information
NPI: 1699832352
Provider Name (Legal Business Name): BARBARA ANN GARSON RN, MSN, CS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
53 LANGLEY RD SUITE 350
NEWTON CENTRE MA
02459-1913
US
IV. Provider business mailing address
54 SAINT MARYS ST
NEWTON MA
02462-1019
US
V. Phone/Fax
- Phone: 617-332-3080
- Fax: 617-965-5634
- Phone: 617-332-3080
- Fax: 617-965-5634
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 163168 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: