Provider Demographics
NPI:1568507309
Name:GARVIN, PATRICIA LYNN (RN, CNS)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNN
Last Name:GARVIN
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30562 VIA ESTORIL
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2334
Mailing Address - Country:US
Mailing Address - Phone:949-249-1088
Mailing Address - Fax:909-558-6342
Practice Address - Street 1:25333 BARTON RD
Practice Address - Street 2:EAST CAMPUS 1126
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3123
Practice Address - Country:US
Practice Address - Phone:909-558-6071
Practice Address - Fax:909-558-6342
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA398616163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation