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NPI Code Detail

MEDICARE: ERIN MICHELLE GARRETT NP

MEDICARE:   ERIN MICHELLE GARRETT  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner71002898AIN

General Provider Information

NPI Number : 1124252903
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MICHELLE GARRETT NP
Provider Business Mailing Address
First Line : 5256 E 65TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4819
Country : US
Telephone Number : 317-429-0120
Fax Number : 866-202-5499
Provider Business Practice Location Address
First Line : 4550 EASTBOURNE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-3369
Country : US
Telephone Number : 317-730-0867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2009
Last Update Date : 03/14/2024

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