Provider Demographics
NPI:1942264437
Name:GARWO, JAMES MORLEE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MORLEE
Last Name:GARWO
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 GAS LIGHT DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-3460
Mailing Address - Country:US
Mailing Address - Phone:608-318-0311
Mailing Address - Fax:
Practice Address - Street 1:5910 ANTHONY ST
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-8626
Practice Address - Country:US
Practice Address - Phone:608-838-5887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse