Provider Demographics
NPI:1962527366
Name:GARRETT, ANITA S (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:S
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5101 COMMERCE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0411
Mailing Address - Country:US
Mailing Address - Phone:661-327-3756
Mailing Address - Fax:661-327-2332
Practice Address - Street 1:5101 COMMERCE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0411
Practice Address - Country:US
Practice Address - Phone:661-327-3756
Practice Address - Fax:661-327-2332
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA14027363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant