Healthcare Provider Details

I. General information

NPI: 1184409112
Provider Name (Legal Business Name): MEREDITH GARZA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEREDITH WILSON

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7149 W LOST BIRD DR
TUCSON AZ
85743-5028
US

IV. Provider business mailing address

7149 W LOST BIRD DR
TUCSON AZ
85743-5028
US

V. Phone/Fax

Practice location:
  • Phone: 502-494-9678
  • Fax:
Mailing address:
  • Phone: 502-494-9678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License Number290765
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4053912
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: