Healthcare Provider Details

I. General information

NPI: 1649665480
Provider Name (Legal Business Name): BAUDELIA GARCIA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BAUDELIA GARCIA FNP

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 7TH ST
WASCO CA
93280-1819
US

IV. Provider business mailing address

1230 JEFFERSON ST
DELANO CA
93215-2204
US

V. Phone/Fax

Practice location:
  • Phone: 661-758-2449
  • Fax: 661-758-8317
Mailing address:
  • Phone: 661-758-2449
  • Fax: 661-758-8317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95001924
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: