Provider Demographics
NPI:1861156986
Name:GARRETT, DEANNA DAWN
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:DAWN
Last Name:GARRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 E ROCCO RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-1755
Mailing Address - Country:US
Mailing Address - Phone:435-772-5787
Mailing Address - Fax:
Practice Address - Street 1:397 E ROCCO RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-1755
Practice Address - Country:US
Practice Address - Phone:435-772-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife