Provider Demographics
NPI:1861994113
Name:GARRITSON, NATASHA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:
Last Name:GARRITSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 HEBRON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-2109
Mailing Address - Country:US
Mailing Address - Phone:843-729-2742
Mailing Address - Fax:
Practice Address - Street 1:1238 FALLS RD
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-2407
Practice Address - Country:US
Practice Address - Phone:706-886-6090
Practice Address - Fax:706-898-6091
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN224869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily