MONIQUE LYNNE GARVANIAN RN
NPI 1891450094
Registered Nurse - Addiction (Substance Use Disorder) in Santa Rosa, CA
Active since November 02, 2021
About Monique Lynne Garvanian Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONIQUE LYNNE GARVANIAN RN (NPI 1891450094) is an individual addiction (substance use disorder) provider in Santa Rosa, California, licensed in California (475626) and active in the NPI registry since November 2021.
NPPES Registry Identity
NPI1891450094
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameMONIQUE LYNNE GARVANIANCredential: RN
Location Address2403 PROFESSIONAL DR # 203Santa Rosa, CA 95403-3007
Mailing Address1040 Kawana Springs Rd Apt 208Santa Rosa, CA 95404-1867 · (650) 293-7197
Phone(707) 571-2233
Sole ProprietorNo
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1891450094 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in CA · 475626
2403 PROFESSIONAL DR # 203, Santa Rosa, CA 95403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891450094, enumerated as an "individual" on November 02, 2021.
The provider is located at 2403 PROFESSIONAL DR # 203 SANTA ROSA, CA 95403 and the phone number is (707) 571-2233.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).
