Provider Demographics
NPI:1083433205
Name:GARRABRANT, PETER (RN)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:GARRABRANT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:GARRABRANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:FRONTIER BEHAVIORAL HEALTH
Mailing Address - Street 2:107 S. DIVISION
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-838-4651
Mailing Address - Fax:
Practice Address - Street 1:1401 N CALISPEL ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2317
Practice Address - Country:US
Practice Address - Phone:509-838-4651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00135382163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse