Provider Demographics
NPI:1295416105
Name:GARRISON, AMELIA YVONNE (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:YVONNE
Last Name:GARRISON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 WASHINGTON ST STE 510
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2745
Mailing Address - Country:US
Mailing Address - Phone:860-885-1308
Mailing Address - Fax:
Practice Address - Street 1:330 WASHINGTON ST STE 510
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2745
Practice Address - Country:US
Practice Address - Phone:860-885-1308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT210280163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse