Provider Demographics
NPI:1144533522
Name:GARRETT, TAMMY JOY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:JOY
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3246 CHERRY PLUM PL
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2737
Mailing Address - Country:US
Mailing Address - Phone:719-323-1644
Mailing Address - Fax:
Practice Address - Street 1:3920 N UNION BLVD # 220
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4900
Practice Address - Country:US
Practice Address - Phone:719-375-5400
Practice Address - Fax:719-434-7474
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2021-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0003476363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant