Healthcare Provider Details

I. General information

NPI: 1811819329
Provider Name (Legal Business Name): TAWNY MARIE GARCIA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 E MUIRWOOD DR STE 105
PHOENIX AZ
85048-7693
US

IV. Provider business mailing address

4530 E MUIRWOOD DR STE 105
PHOENIX AZ
85048-7693
US

V. Phone/Fax

Practice location:
  • Phone: 480-961-2303
  • Fax: 480-961-0419
Mailing address:
  • Phone: 480-961-2303
  • Fax: 480-961-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number232116
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: