Alexandria Brooke Garrett
Individual provider Active NPI Registered Nurse · Newport, AR
NPI 1881424331 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1881424331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R105747 (AR)
- Practice address
- 210 Third St
Newport, AR 72112-3302 - Phone
- (501) 315-3344
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R105747 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R105747 | AR | Yes |
Addresses
Primary practice location
210 Third St
Newport, AR 72112-3302
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other providers in Newport, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.