Individual
TANISHA L GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Mailing address
80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 972-4670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005889
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
005889
CT
Other
Enumeration date
08/25/2014
Last updated
01/22/2015
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