Individual
MR. WILLIAM ANDREW GARRIOTT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E MARKET ST STE 715D, INDIANAPOLIS, IN 46204-3237
(317) 777-1763
Mailing address
6910 N TUXEDO ST, INDIANAPOLIS, IN 46220-3776
(317) 777-1763
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71011553A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055795
—
IN
Enumeration date
10/07/2021
Last updated
09/25/2024
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