Provider Demographics
NPI:1932942943
Name:GARRETT, CAMBRIA CLAIRE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CAMBRIA
Middle Name:CLAIRE
Last Name:GARRETT
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3452 S MAPLETON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:UT
Mailing Address - Zip Code:84664-4886
Mailing Address - Country:US
Mailing Address - Phone:385-335-4396
Mailing Address - Fax:
Practice Address - Street 1:3452 S MAPLETON HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:UT
Practice Address - Zip Code:84664-4886
Practice Address - Country:US
Practice Address - Phone:385-335-4396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9832725-3102163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant