Individual provider · Type 1 NPI
Michelle A. Garrison, AGACNP
Gerontology Nurse Practitioner · Peoria, IL
NPI number
1669236840
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
7011 N Clayton Ct
Peoria, IL 61615-9217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209029290 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1669236840
Michelle A. Garrison, AGACNP's National Provider Identifier is 1669236840, issued on Feb 8, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Peoria, IL. The record was last updated on Feb 8, 2024.