Provider Demographics
NPI:1255536819
Name:GARBER, CARLA CHRISTINE (CNP)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:CHRISTINE
Last Name:GARBER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S STANFIELD RD
Mailing Address - Street 2:STE. A
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2569
Mailing Address - Country:US
Mailing Address - Phone:937-339-5355
Mailing Address - Fax:
Practice Address - Street 1:700 S STANFIELD RD
Practice Address - Street 2:STE. A
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2569
Practice Address - Country:US
Practice Address - Phone:937-339-5355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.09423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2953380Medicaid
OHH478780Medicare PIN