Provider Demographics
NPI:1619261369
Name:GARRETT, TRISHA ANNE (DO)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:ANNE
Last Name:GARRETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:ANNE
Other - Last Name:CARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-0760
Mailing Address - Country:US
Mailing Address - Phone:812-254-6696
Mailing Address - Fax:812-257-7071
Practice Address - Street 1:1402 GRAND AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-2122
Practice Address - Country:US
Practice Address - Phone:812-254-6696
Practice Address - Fax:812-254-7934
Is Sole Proprietor?:No
Enumeration Date:2011-05-30
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004409A207Q00000X
IA4396207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine