Provider Demographics
NPI:1669691143
Name:GARVER, CAROLYN CHRISTINE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:CHRISTINE
Last Name:GARVER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:CAROLYN
Other - Middle Name:CHRISTINE
Other - Last Name:CASTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP RN
Mailing Address - Street 1:225 ORCHARD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1713
Mailing Address - Country:US
Mailing Address - Phone:412-278-0421
Mailing Address - Fax:
Practice Address - Street 1:212 9TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3517
Practice Address - Country:US
Practice Address - Phone:412-456-6928
Practice Address - Fax:412-465-0128
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP005067B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1669691143Medicaid
PA1669691143OtherPHARMACIES