Individual
MICHAEL PATRICK GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1352
(208) 367-6416
Mailing address
5154 E BARBER STATION WAY, BOISE, ID 83716-8651
(208) 794-0159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N29640
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA462
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805937400
—
ID
Enumeration date
06/01/2006
Last updated
03/11/2019
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