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NPI 1891324216 · live from the CMS NPI Registry

Taira Nicole Garrett, CNP

Nurse Practitioner, Pediatrics, Critical Care in Springdale, AR. National Provider Identifier 1891324216, active.

NPI record

NPI1891324216 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics, Critical Care 363LP0222X
Practice location2601 Gene George Blvd, Springdale, AR 72762
Practice phone479-725-6801
Mailing address1 Childrens Way # 844, Little Rock, AR 72202
EnumeratedApril 7, 2020
Last updatedJuly 19, 2024
Sole proprietorNo
Other namesTaira Bernard

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics, Critical Care primary363LP0222X201817 (OK)
Nurse Practitioner, Pediatrics363LP0200X123557 (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.