1225686223 NPI number — BREANNA CLAIRE GARRIGUS 870895 RN

Table of content: BREANNA CLAIRE GARRIGUS 870895 RN (NPI 1225686223)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225686223 NPI number — BREANNA CLAIRE GARRIGUS 870895 RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARRIGUS
Provider First Name:
BREANNA
Provider Middle Name:
CLAIRE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
870895 RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225686223
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/03/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13915 BURNET RD STE 303
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78728-6505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-996-9559
Provider Business Mailing Address Fax Number:
512-996-9905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13915 BURNET RD STE 303
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78728-6505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-996-9559
Provider Business Practice Location Address Fax Number:
512-996-9905
Provider Enumeration Date:
09/03/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  870895 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com