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Garrett Vanderwater
Emergency Registered Nurse in Gallup, New Mexico
NPI 1720689136

Garrett Vanderwater is a Emergency Registered Nurse based in Gallup, NM and is specialized in Emergency. Garrett Vanderwater practices in Gallup, NM. The NPI Number for Garrett Vanderwater is 1720689136 and holds a License No. 1645507 (New Mexico).

The current practice location address for Garrett Vanderwater is 1808 W Aztec Ave, Gallup, NM and can be reached out via phone at 505-722-1000.

Location: 1808 W Aztec Ave, Gallup, NM, 87301-5748
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Provider Profile Details
NPI Number
1720689136
Provider Name
Garrett Vanderwater
Credential
Provider Entity Type
Individual
Gender
Male
Address
1808 W Aztec Ave, Gallup, NM, 87301-5748
Phone Number
505-722-1000
Fax Number
Provider Enumeration Date
11/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1808 W Aztec Ave
City
State
Zip
87301-6780
Phone Number
505-722-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1808 W Aztec Ave
City
State
Zip
87301-6780
Phone Number
505-722-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
1645507 (Colorado)
Definition
Definition to come...
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