Individual
MICHELLE DAWN GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 MATTHEW ST STE 302, MARIETTA, OH 45750-1656
(740) 568-5207
Mailing address
418 1/2 COLEGATE DRIVE, MARIETTA, OH 45750-9549
(740) 374-6090
(740) 374-3165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
05
—
PENDING
—
WV
Enumeration date
10/12/2017
Last updated
03/22/2019
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