Individual provider · Type 1 NPI

Conneila Aiysha Garris, LPN

Licensed Practical Nurse · Philadelphia, PA

NPI number 1750248480 Active

Practice location

7307 Buist Ave
Philadelphia, PA 19153-2204

Call (610) 998-5794 Map

Mailing address

1902 W Godfrey Ave
Philadelphia, PA 19141

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN302036 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1750248480

Conneila Aiysha Garris, LPN's National Provider Identifier is 1750248480, issued on Jan 6, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 6, 2026.