1457678575 NPI number — GARRISON NUTT M.ED

Table of content: GARRISON NUTT M.ED (NPI 1457678575)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457678575 NPI number — GARRISON NUTT M.ED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NUTT
Provider First Name:
GARRISON
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.ED
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457678575
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1665 OLD HOT SPRINGS ROAD
Provider Second Line Business Mailing Address:
SUITE 157
Provider Business Mailing Address City Name:
CARSON CITY
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89706-0663
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-687-5162
Provider Business Mailing Address Fax Number:
775-687-1214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 C STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAWTHORNE
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89415-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-945-3387
Provider Business Practice Location Address Fax Number:
775-945-2307
Provider Enumeration Date:
04/29/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)