Provider Demographics
NPI:1114679875
Name:GARRITY, ANNABELLE (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:
Last Name:GARRITY
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W 56TH ST APT LK
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3605
Mailing Address - Country:US
Mailing Address - Phone:781-690-7791
Mailing Address - Fax:
Practice Address - Street 1:401 W 56TH ST APT LK
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3605
Practice Address - Country:US
Practice Address - Phone:781-690-7791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY822240163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse