Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garrett Vanderwater

Individual provider Emergency Registered Nurse · NPI 1720689136

Garrett Vanderwater is an Emergency Registered Nurse in Gallup, New Mexico. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020

Practice location Address checks out

1808 W Aztec Ave
Gallup, NM 87301-6780
Phone: (505) 722-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 1645507 (CO)

Record details

NPI number1720689136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address516 E Nizhoni Blvd, Gallup, NM 87301-5748

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