Healthcare Provider Details

I. General information

NPI: 1427838523
Provider Name (Legal Business Name): AMANDA DANIELLA GARCIA ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 SHELBURNE RD STE 402
BURLINGTON VT
05401-4935
US

IV. Provider business mailing address

365 SAINT PAUL ST APT 6
BURLINGTON VT
05401-4649
US

V. Phone/Fax

Practice location:
  • Phone: 802-238-8603
  • Fax: 855-886-6950
Mailing address:
  • Phone: 929-928-7634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099.0134222
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: