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NPI Code Detail

MEDICARE: MS. HEATHER S GARRETT VN243191

MEDICARE: MS. HEATHER S GARRETT VN243191
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
1164X00000XLicensed Vocational NurseVN243191CA

General Provider Information

NPI Number : 1366772428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER S GARRETT VN243191
Provider Business Mailing Address
First Line : 1901 CLEVELAND AVE
Second Line : SUITE B
City : SANTA ROSA
State : CA
Zip : 95401-4282
Country : US
Telephone Number : 707-576-0818
Fax Number : 707-576-7845
Provider Business Practice Location Address
First Line : 1901 CLEVELAND AVE
Second Line : SUITE B
City : SANTA ROSA
State : CA
Zip : 95401-4282
Country : US
Telephone Number : 707-576-0818
Fax Number : 707-576-7845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2010
Last Update Date : 01/12/2010

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Directions to “ MS. HEATHER S GARRETT VN243191” Practice Location

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