Provider Demographics
NPI:1962155010
Name:GARRETT, ALBANY CAMILLE (RN)
Entity type:Individual
Prefix:MS
First Name:ALBANY
Middle Name:CAMILLE
Last Name:GARRETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3311
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663-0311
Mailing Address - Country:US
Mailing Address - Phone:757-812-9853
Mailing Address - Fax:
Practice Address - Street 1:98 INGALLS RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23651-1039
Practice Address - Country:US
Practice Address - Phone:757-812-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001253386163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse