Provider Demographics
NPI:1184623035
Name:GARVERICK, NEAL (CRNP)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:
Last Name:GARVERICK
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 PIMLICO DR
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-9803
Mailing Address - Country:US
Mailing Address - Phone:717-319-6096
Mailing Address - Fax:717-337-0267
Practice Address - Street 1:6 N BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1210
Practice Address - Country:US
Practice Address - Phone:717-366-8447
Practice Address - Fax:717-913-9740
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008045363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50071903OtherCAPITAL BLUE CROSS-WMG
MD906819OtherCAREFIRST MD BCBS
PA1550658OtherGATEWAY ASSURED
PA1925981OtherHIGHMARK BLUE SHIELD
PA211738OtherJOHNS HOPKINS
PA50071903OtherCAPITAL BLUE CROSS-WMG
PA085099FLTMedicare PIN
MD906819OtherCAREFIRST MD BCBS