Individual
TAIRA NICOLE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6801
Mailing address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
123557
AR
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
201817
OK
Other
Enumeration date
04/07/2020
Last updated
07/19/2024
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