Provider Demographics
NPI:1447754627
Name:GARRETT, KAYLA (MSN, APRN, AGNP-C)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19000 ST JOES PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1477
Mailing Address - Country:US
Mailing Address - Phone:734-213-3685
Mailing Address - Fax:734-213-3686
Practice Address - Street 1:19000 ST JOES PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1477
Practice Address - Country:US
Practice Address - Phone:342-133-6857
Practice Address - Fax:734-213-3686
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAG12170010363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner