Ernestina Lisa Marie Givan
Dental Hygienist
5115 Jabara Ct Unit B
Jb Andrews
, Maryland 20762-5804
Ernestina Lisa Marie Givan
Dental Hygienist
5115 Jabara Ct Unit B
Jb Andrews
, Maryland 20762-5804
(325) 227-9063
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Ernestina Lisa Marie Givan
- 5115 Jabara Ct Unit B
- Jb Andrews, MD
- Zip : 20762-5804
- Phone : (325) 227-9063
Second Address
- Ernestina Lisa Marie Givan
- 5115 Jabara Ct Unit B
- Jb Andrews, MD
- Zip : 20762-5804
- Phone : (325) 227-9063
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH.002024614 | CO |
National Provider Identifier
| NPI | 1073273488 |
|---|---|
| Provider Name | Ernestina Lisa Marie Givan |
| First Address | Jb Andrews, MD 20762-5804 |
| Second Address | Jb Andrews, MD 20762-5804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2021 |
| Last Update Date | 27/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NA | NA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.