Provider Demographics
NPI:1558732081
Name:GARVEY, BRITTNEY LEE I (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:LEE
Last Name:GARVEY
Suffix:I
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:BRITTNEY
Other - Middle Name:LEE
Other - Last Name:BENNETTS
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:339 WATER ST
Mailing Address - Street 2:
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143-2716
Mailing Address - Country:US
Mailing Address - Phone:906-424-0215
Mailing Address - Fax:
Practice Address - Street 1:339 WATER ST
Practice Address - Street 2:
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-2716
Practice Address - Country:US
Practice Address - Phone:906-424-0215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI319729164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse