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NPI Code Detail

MEDICARE: CYNTHIA GARBETT

MEDICARE: CYNTHIA GARBETT
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse7667945-3102UT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner76679454405UT

General Provider Information

NPI Number : 1043835630
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA GARBETT
Provider Business Mailing Address
First Line : 265 E 100 S STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1643
Country : US
Telephone Number : 801-483-2447
Fax Number :
Provider Business Practice Location Address
First Line : 265 E 100 S STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1643
Country : US
Telephone Number : 801-483-2447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 06/30/2020

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Directions to “ CYNTHIA GARBETT ” Practice Location

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