Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | LE-00024563 | OH |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.023054 | OH |
NPI | 1437644101 |
---|---|
Provider Name | Julie E. Garvey |
First Address | Dayton, OH 45405-7538 |
Second Address | Dayton, OH 45405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2018 |
Last Update Date | 19/01/2021 |