Healthcare Provider Details

I. General information

NPI: 1487597209
Provider Name (Legal Business Name): CHARLOTTE ANN GARRETT NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 POST RD
WARWICK RI
02886-3169
US

IV. Provider business mailing address

55 WOODY HILL RD
HOPE VALLEY RI
02832-1254
US

V. Phone/Fax

Practice location:
  • Phone: 401-352-0007
  • Fax:
Mailing address:
  • Phone: 401-744-0304
  • Fax: 401-744-0304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN55067
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: