ELISA DENISE GARRETT

LINCOLN CITY, OR
NPI1811550866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: OR  201903457NP-PP)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: OR  AG03190056)
Enumeration Date2019-04-16
Last Update Date2024-11-18
Business Address
ELISA DENISE GARRETT AGNP-C
4488 NE DEVILS LAKE BLVD
LINCOLN CITY, OR 97367-5065
Phone number: 541-614-0407
Mailing Address
ELISA DENISE GARRETT AGNP-C
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number: