Provider Demographics
NPI:1336393958
Name:MCGARVEY, CAITLIN ELIZABETH (LPN)
Entity Type:Individual
Prefix:MISS
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:MCGARVEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7455 OLD TOWN RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43760-9635
Mailing Address - Country:US
Mailing Address - Phone:740-704-2898
Mailing Address - Fax:
Practice Address - Street 1:7455 OLD TOWN RD
Practice Address - Street 2:
Practice Address - City:MOUNT PERRY
Practice Address - State:OH
Practice Address - Zip Code:43760-9635
Practice Address - Country:US
Practice Address - Phone:740-704-2898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 131615164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse