Individual
COREY GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(715) 571-9127
Mailing address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 922-3630
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
250070-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
50297
WY
Other
Enumeration date
04/05/2022
Last updated
08/23/2022
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