MEDICARE: PATRICK GARCIA CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	CNP-02519	NM

General Provider Information

NPI Number	:	1891198081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK GARCIA CNP

Provider Business Mailing Address
First Line	:	5819 COYOTE PEAK PLACE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012
Country	:	US
Telephone Number	:	575-496-5223
Fax Number	:

Provider Business Practice Location Address
First Line	:	5819 COYOTE PEAK PLACE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012
Country	:	US
Telephone Number	:	575-496-5223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2014
Last Update Date	:	10/01/2014

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