Provider Demographics
NPI:1255960464
Name:GAREY, ABBY LYNNE (RN)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:LYNNE
Last Name:GAREY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:28071 COUNTY ROAD 354
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:MI
Mailing Address - Zip Code:49065-9651
Mailing Address - Country:US
Mailing Address - Phone:269-539-0138
Mailing Address - Fax:269-299-0380
Practice Address - Street 1:451 HEALTH PKWY STE E
Practice Address - Street 2:
Practice Address - City:PAW PAW
Practice Address - State:MI
Practice Address - Zip Code:49079-8242
Practice Address - Country:US
Practice Address - Phone:269-655-1733
Practice Address - Fax:269-655-0780
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704269856163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care