Provider Demographics
NPI:1568855922
Name:GARVIE, BRIANNA ROSE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:ROSE
Last Name:GARVIE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:ROSE
Other - Last Name:TORGERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11011 MERIDIAN AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8967
Mailing Address - Country:US
Mailing Address - Phone:206-525-5777
Mailing Address - Fax:206-528-9881
Practice Address - Street 1:11011 MERIDIAN AVE N STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8967
Practice Address - Country:US
Practice Address - Phone:206-525-5777
Practice Address - Fax:206-528-9881
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA.60511091363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant