Healthcare Provider Details

I. General information

NPI: 1265103477
Provider Name (Legal Business Name): KAREN A GARCIA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 W CHANDLER BLVD
CHANDLER AZ
85226-3732
US

IV. Provider business mailing address

4130 E PALO VERDE ST
GILBERT AZ
85296-1180
US

V. Phone/Fax

Practice location:
  • Phone: 480-917-3706
  • Fax: 480-353-2066
Mailing address:
  • Phone: 480-495-1876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number286071
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN163644
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: