Healthcare Provider Details

I. General information

NPI: 1639228810
Provider Name (Legal Business Name): SUSAN M GARRETT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 BOUGAINVILLEA ST
SARASOTA FL
34239-5704
US

IV. Provider business mailing address

3325 BOUGAINVILLEA ST
SARASOTA FL
34239-5704
US

V. Phone/Fax

Practice location:
  • Phone: 941-915-0632
  • Fax: 941-929-0904
Mailing address:
  • Phone: 941-915-0632
  • Fax: 941-929-0904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number1318812
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1318812
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: