Healthcare Provider Details

I. General information

NPI: 1538254719
Provider Name (Legal Business Name): SHARON D GARNAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EUNICE CT BLDG B
EDGEWOOD NM
87015-9108
US

IV. Provider business mailing address

2 EUNICE CT BLDG B
EDGEWOOD NM
87015-9108
US

V. Phone/Fax

Practice location:
  • Phone: 505-281-4620
  • Fax: 505-281-0397
Mailing address:
  • Phone: 505-281-4620
  • Fax: 505-281-0397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20030092
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: