Provider Demographics
NPI:1154085967
Name:GARN, AMBER JOY
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:JOY
Last Name:GARN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:BETTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44815-0147
Mailing Address - Country:US
Mailing Address - Phone:419-770-0567
Mailing Address - Fax:
Practice Address - Street 1:107 SULLIVAN STREET
Practice Address - Street 2:
Practice Address - City:BETTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44815-0147
Practice Address - Country:US
Practice Address - Phone:419-770-0567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker