Provider Demographics
NPI:1649471285
Name:GARBITT, RENEE MARIE (CERTIFIED NURSE PRAC)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:MARIE
Last Name:GARBITT
Suffix:
Gender:F
Credentials:CERTIFIED NURSE PRAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CORRIGAN MENTAL HEALTH CENTER
Mailing Address - Street 2:49 HILLSIDE ST
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720
Mailing Address - Country:US
Mailing Address - Phone:508-235-7298
Mailing Address - Fax:
Practice Address - Street 1:CORRIGAN MENTAL HEALTH CENTER
Practice Address - Street 2:49 HILLSIDE ST
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-235-7298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6290101YM0800X
MARN2269982163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse