Provider Demographics
NPI:1316154131
Name:GARRITY, NANCY JOSEPHINE (MA, BAC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JOSEPHINE
Last Name:GARRITY
Suffix:
Gender:F
Credentials:MA, BAC
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:JOSEPHINE
Other - Last Name:VITALIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2823 E SIERRA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-0904
Mailing Address - Country:US
Mailing Address - Phone:520-323-8272
Mailing Address - Fax:
Practice Address - Street 1:2823 E SIERRA VISTA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-0904
Practice Address - Country:US
Practice Address - Phone:520-323-8272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1139103T00000X
MN1040171100000X
AZ0234171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered171100000XOther Service ProvidersAcupuncturist