Corey Andrew Gargano
Registered Nurse, Critical Care Medicine in Flagstaff, AZ. Individual provider (NPI-1).
NPI number1629958905
StatusActive
Last updated in NPPESSep 5, 2025
Details
- NPI
- 1629958905
- Entity type
- Individual (NPI-1)
- Name
- Corey Andrew Gargano
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2025
- Certification date
- Sep 5, 2025
- Last updated
- Sep 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | RN211778 | AZ | Yes |
Practice location
3365 N Chinwood WayFlagstaff, AZ 86004-1720
Phone 513-518-3197
Mailing address
3365 N Chinwood WayFlagstaff, AZ 86004-1720
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