Provider Demographics
NPI:1891842613
Name:GARBEN, IWONA (NP)
Entity Type:Individual
Prefix:
First Name:IWONA
Middle Name:
Last Name:GARBEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:IWONA
Other - Middle Name:
Other - Last Name:GARBEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:8608 N HIGHWAY 146 STE 600
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-7506
Mailing Address - Country:US
Mailing Address - Phone:832-556-6936
Mailing Address - Fax:
Practice Address - Street 1:8608 N HIGHWAY 146 STE 600
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-7506
Practice Address - Country:US
Practice Address - Phone:832-556-6936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF 305494-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health