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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARRY ROGER DORMEVIL, NURSE PRACTITIONER

Active Sole Proprietor

GARRY ROGER DORMEVIL, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in LA QUINTA, California. NPI 1164196457 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LA QUINTA, CA

Registration Details

NPI Number
1164196457
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2021 (5.0224681120303 yrs)
Last Updated
Apr 7, 2022
License
0024180743 (VA)
Sole Proprietor
Yes

Practice Information

Address
79440 CORPORATE CENTER DR STE 100
LA QUINTA, CA, 922537243
Browse CA providers · Browse ZIP 92253
Phone
8057193700
Fax
8054139099
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in LA QUINTA, CA

Name Credential NPI
JEANNE M PERAFAN NP 1831377829
SERGIO G ARANCIBIA NP 1881926939
REGINA TONGSON 1073059689
CAMI LEE ELLEN MCCHESNEY FNP-C 1467977116
MRS. ENID SWAIL RAMOS FNP 1922654300
WESLEY E ANDERSON NP 1265032486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.