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

Individual provider Acute Care Nurse Practitioner · NPI 1093678625

Michelle Imacul Garvin is a Nurse Practitioner in Paterson, New Jersey. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ15459300 (NJ)

Record details

NPI number1093678625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2025
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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