Provider Demographics
NPI:1851909576
Name:GARMON, ERIN NICOLE (APRN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:NICOLE
Last Name:GARMON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 KNOB LICK BLUE SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:KNOB LICK
Mailing Address - State:KY
Mailing Address - Zip Code:42154-8329
Mailing Address - Country:US
Mailing Address - Phone:270-537-4052
Mailing Address - Fax:
Practice Address - Street 1:110 W JOHN ROWAN BLVD
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-2663
Practice Address - Country:US
Practice Address - Phone:502-337-7409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily