Healthcare Provider Details

I. General information

NPI: 1598851784
Provider Name (Legal Business Name): ERICA GARZA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 WALLACE WAY
GRANDVIEW WA
98930-8805
US

IV. Provider business mailing address

723 MEMORIAL ST
PROSSER WA
99350-1524
US

V. Phone/Fax

Practice location:
  • Phone: 509-203-1080
  • Fax: 509-203-1077
Mailing address:
  • Phone: 509-786-2222
  • Fax: 509-786-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006582
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: