Provider Demographics
NPI:1861036881
Name:GARMON, JOANNA KATARZYNA
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:KATARZYNA
Last Name:GARMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 BRIER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4321
Mailing Address - Country:US
Mailing Address - Phone:702-722-4262
Mailing Address - Fax:
Practice Address - Street 1:6861 BRIER CREEK LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4321
Practice Address - Country:US
Practice Address - Phone:702-722-4262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide