Individual
TRACEY A GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7950 N SHADELAND AVE STE 250, INDIANAPOLIS, IN 46250-0089
(317) 730-6770
Mailing address
5817 BEATLE DR APT D, INDIANAPOLIS, IN 46216-2163
(317) 270-7229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28215197
IN
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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