Individual
KAREN G GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12221
WI
367500000X
Certified Registered Nurse Anesthetist
43928
NC
367500000X
Certified Registered Nurse Anesthetist
466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206549
—
WI
05
—
8051468
—
NC
Enumeration date
09/12/2006
Last updated
08/16/2023
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