Provider Demographics
NPI:1760573083
Name:GARVEY, JANET HART (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:HART
Last Name:GARVEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1337
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-1337
Mailing Address - Country:US
Mailing Address - Phone:276-238-3566
Mailing Address - Fax:276-238-3509
Practice Address - Street 1:106 DOCTORS PARK
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2276
Practice Address - Country:US
Practice Address - Phone:276-236-8166
Practice Address - Fax:276-236-5247
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024113052363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1760573083Medicaid
VA1760573083Medicaid