Basic Information
Provider Information
NPI: 1285270173
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARMER
FirstName: KATHERINE
MiddleName: ALANE
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2540 NEW BUTLER RD STE 200
Address2:  
City: NEW CASTLE
State: PA
PostalCode: 161013225
CountryCode: US
TelephoneNumber: 7246542776
FaxNumber: 7246573203
Practice Location
Address1: 2540 NEW BUTLER RD STE 200
Address2:  
City: NEW CASTLE
State: PA
PostalCode: 161013225
CountryCode: US
TelephoneNumber: 7246542776
FaxNumber: 7246573203
Other Information
ProviderEnumerationDate: 11/26/2019
LastUpdateDate: 11/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200XSP020955PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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