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NPI Code Detail

MEDICARE: BRIGETT LEIGH GARNER NP

MEDICARE: BRIGETT LEIGH GARNER NP
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
1163W00000XRegistered Nurse534660NY
2163W00000XRegistered Nurse172842AZ
3363LW0102XWomen's Health Nurse Practitioner420740NY
4363LA2200XAdult Health Nurse Practitioner304149NY
5363LX0001XObstetrics & Gynecology Nurse Practitioner4403AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100243352OTHERNYMMIS PROVIDER ID

General Provider Information

NPI Number : 1154388908
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGETT LEIGH GARNER NP
Provider Business Mailing Address
First Line : 655 S DOBSON RD
Second Line : STE 101
City : CHANDLER
State : AZ
Zip : 85224-5668
Country : US
Telephone Number : 480-844-4702
Fax Number : 480-844-4323
Provider Business Practice Location Address
First Line : 455 E 6TH ST
Second Line : SUITE 100
City : MESA
State : AZ
Zip : 85203-7118
Country : US
Telephone Number : 480-844-4702
Fax Number : 480-844-4323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 05/23/2022

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