Individual provider · Type 1 NPI

Garrett Vanderwater

Emergency Registered Nurse · Gallup, NM

NPI number 1720689136 Active

Practice location

1808 W Aztec Ave
Gallup, NM 87301-6780

Call (505) 722-1000 Map

Mailing address

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X1645507 (CO)

Emergency Registered Nurse: Definition to come...

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About NPI 1720689136

Garrett Vanderwater's National Provider Identifier is 1720689136, issued on Nov 3, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on Nov 3, 2020.