Individual
GARRETT LOGAN GAILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C, ENP-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
2950 CLEVELAND CLINIC BLVD FL 33331, WESTON, FL 33331-3609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01839
RI
363LF0000X
Family Nurse Practitioner
N.A
RI
Other
Enumeration date
04/28/2018
Last updated
06/03/2025
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