Provider Demographics
NPI:1699859884
Name:GARVEY, MARY ELIZABETH (APRN, BC, RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ELIZABETH
Last Name:GARVEY
Suffix:
Gender:F
Credentials:APRN, BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 25TH ST N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-2400
Mailing Address - Country:US
Mailing Address - Phone:205-323-5311
Mailing Address - Fax:
Practice Address - Street 1:712 25TH ST N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-2400
Practice Address - Country:US
Practice Address - Phone:205-323-5311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN179366163WP0807X, 163WP0809X
NY401172363LP0808X
AL1-123427363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN178366OtherREGISTERED NURSE
NY401172OtherNEW YORK OFFICE OF PROFESSIONS
AL1-123427OtherALABAMA BOARD OF NURSING