Garrett, Elisa Denise
Garrett, Elisa Denise is an sole proprietor health care provider with primary practice located at 4488 Ne Devils Lake Blvd , Lincoln City OR 97367-5065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Garrett, Elisa Denise can be contacted via phone (541) 614-0407.Contact Information
Primary practice address
4488 Ne Devils Lake Blvd
Lincoln City OR 97367-5065
Phone: (541) 614-0407
Fax: (833) 973-5262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AG03190056 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 201903457NP-PP | Oregon |
Profile Details
| NPI number | 1811550866 |
|---|---|
| LBN Legal business name | Garrett, Elisa Denise |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2019 |
| Last updated | Nov 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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