Healthcare Provider Details

I. General information

NPI: 1972289031
Provider Name (Legal Business Name): HEATHER GARROT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER PIZZOLATO RN

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 HENNESSY BLVD STE 7000
BATON ROUGE LA
70808-0307
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-765-8829
  • Fax: 225-765-8283
Mailing address:
  • Phone: 225-765-8829
  • Fax: 225-765-9169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number230760
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: