Provider Demographics
NPI:1114226529
Name:GARBETT, BRENT (RN)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:
Last Name:GARBETT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4392 TERRY CT
Mailing Address - Street 2:
Mailing Address - City:OLIVEHURST
Mailing Address - State:CA
Mailing Address - Zip Code:95961-4740
Mailing Address - Country:US
Mailing Address - Phone:530-742-4451
Mailing Address - Fax:
Practice Address - Street 1:1077 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-3002
Practice Address - Country:US
Practice Address - Phone:530-822-7358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN530916163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health