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Individual
MRS. LIANE MARIE GARRETT
Active
Individual
MRS. LIANE MARIE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009647
KY
363LF0000X
Family Nurse Practitioner
28190717A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143879
—
OH
05
—
7100386950
—
KY
01
—
P01559623
RR MEDICARE
KY
Enumeration date
07/14/2015
Last updated
04/27/2016
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