Healthcare Provider Details

I. General information

NPI: 1669377719
Provider Name (Legal Business Name): TRISH GARNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4021 AVENUE B
SCOTTSBLUFF NE
69361-4602
US

IV. Provider business mailing address

2241 RIVER RD
MARSLAND NE
69354-2702
US

V. Phone/Fax

Practice location:
  • Phone: 308-630-1850
  • Fax:
Mailing address:
  • Phone: 308-430-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number61721
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: