Provider Demographics
NPI:1134695265
Name:GARLAND, AUBREY MARIE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:AUBREY
Middle Name:MARIE
Last Name:GARLAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:
Other - Last Name:ROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3501 WE KNIGHT DR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6254
Mailing Address - Country:US
Mailing Address - Phone:479-709-6700
Mailing Address - Fax:479-709-6710
Practice Address - Street 1:3501 WE KNIGHT DR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-6254
Practice Address - Country:US
Practice Address - Phone:479-709-6700
Practice Address - Fax:479-709-6710
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2018-040363A00000X
NC0010-09039363A00000X
ARPA-803363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant