Provider Demographics
NPI:1033893516
Name:GARVEY, CAROL LOUISE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LOUISE
Last Name:GARVEY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 VIKING DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-1840
Mailing Address - Country:US
Mailing Address - Phone:712-253-9394
Mailing Address - Fax:
Practice Address - Street 1:4230 WAR EAGLE DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51109-1700
Practice Address - Country:US
Practice Address - Phone:712-224-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA070320163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse