Basic Information
| Provider Information | |||||||||
| NPI: | 1306065990 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARLOFF | ||||||||
| FirstName: | ANITA | ||||||||
| MiddleName: | EILEEN | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 270 FARRELL AVE | ||||||||
| Address2: | |||||||||
| City: | GILROY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950207637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6692866123 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1922 THE ALAMEDA STE 440 | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4084000333 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2007 | ||||||||
| LastUpdateDate: | 08/29/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | RN558558 | CA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 363LP0808X | 21386 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
ID Information
| ID | Type | State | Issuer | Description | RN558558 | 01 | CA | REGISTERED NURSE | OTHER | 21386 | 01 | CA | NURSE PRACTITIONER | OTHER |