IndividualActive
Elisa Garrett, AGNP-C
NPI 1811550866 · Gerontology Nurse Practitioner · Lincoln City, OR
Provider details
- NPI number
- 1811550866
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- AG03190056 (OR)
Practice location
4488 Ne Devils Lake Blvd
Lincoln City, OR 97367-5065
Phone: (541) 614-0407
Fax: (833) 973-5262
Mailing address
Po Box 1193
Corvallis, OR 97339-1193
Registry dates
- Enumerated
- 2019-04-16
- Last updated
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.