Provider Demographics
NPI:1841765625
Name:GARRITY-AYROSA, MARY ANGELA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANGELA
Last Name:GARRITY-AYROSA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2859 SE 1ST PL
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7603
Mailing Address - Country:US
Mailing Address - Phone:561-512-8958
Mailing Address - Fax:
Practice Address - Street 1:2859 SE 1ST PL
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7603
Practice Address - Country:US
Practice Address - Phone:561-512-8958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9244994363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner