Healthcare Provider Details

I. General information

NPI: 1154395754
Provider Name (Legal Business Name): CYNTHIA M GARCIA PNP, CNNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVENUE
TUCSON AZ
85724
US

IV. Provider business mailing address

2701 E ELVIRA RD
TUCSON AZ
85756-7214
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-6627
  • Fax: 520-626-5009
Mailing address:
  • Phone: 520-626-6627
  • Fax: 520-626-5009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0003X
TaxonomyLow-Risk Neonatal Registered Nurse
License NumberRN104691
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code163WN0003X
TaxonomyLow-Risk Neonatal Registered Nurse
License NumberNNPAP156
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: