Individual
KATELYN ELIZABETH GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 504-1228
Mailing address
2201 6TH AVE, FORT WORTH, TX 76110-1807
(214) 534-5494
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
935842
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
1177069
TX
Other
Enumeration date
06/03/2024
Last updated
10/03/2024
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