Rebecca R Garrett, PA
Physician Assistant in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1063091007
StatusActive
Last updated in NPPESNov 3, 2022
Details
- NPI
- 1063091007
- Entity type
- Individual (NPI-1)
- Name
- Rebecca R Garrett
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2021
- Certification date
- Nov 3, 2022
- Last updated
- Nov 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110008123 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2088 S Independence Blvd Ste 103Virginia Beach, VA 23453-4790
Phone 757-275-9331 · Fax 757-416-7656
Mailing address
3241 Western Branch Blvd Ste AChesapeake, VA 23321-5260
Phone 757-686-3508 · Fax 757-686-0541
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