Provider Demographics
NPI:1609699404
Name:GARGIN, AMBER N
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:GARGIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2557 E MONROE RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-9554
Mailing Address - Country:US
Mailing Address - Phone:989-931-0919
Mailing Address - Fax:
Practice Address - Street 1:2557 E MONROE RD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-9554
Practice Address - Country:US
Practice Address - Phone:989-931-0919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion