Mrs. Tjada S Garvin
Mrs. Tjada S Garvin is a Nurse Practitioner in Wyandanch, New York. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 10
- Licensed in
- NY
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
18 Norwood PlWyandanch, NY 11798-1029
Phone: (631) 805-6956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence F311885 (NY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 578008 (NY) |
Record details
| NPI number | 1679745699 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2008 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | August 21, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |