Provider Demographics
NPI:1164764270
Name:GARLAND, TAMI A (LPN)
Entity Type:Individual
Prefix:MS
First Name:TAMI
Middle Name:A
Last Name:GARLAND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7263 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-6912
Mailing Address - Country:US
Mailing Address - Phone:315-542-1954
Mailing Address - Fax:
Practice Address - Street 1:7263 RIVER RD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-6912
Practice Address - Country:US
Practice Address - Phone:315-542-1954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214232-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse