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Amber Nicole Garrick, NP

Nurse Practitioner in Far Rockaway, NY. Individual provider (NPI-1).

NPI number1053936724
StatusActive
Last updated in NPPESDec 8, 2020

Details

NPI
1053936724
Entity type
Individual (NPI-1)
Name
Amber Nicole Garrick
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 9, 2020
Certification date
Dec 8, 2020
Last updated
Dec 8, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner345965NYYes

Practice location

11506 Beach Channel Dr
Far Rockaway, NY 11694-2206

Phone 718-318-6021

Mailing address

11506 Beach Channel Dr
Rockaway Park, NY 11694-2206

Phone 718-318-6021

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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