MEDICARE: ALEJANDRA GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F04240228	IN

General Provider Information

NPI Number	:	1013754225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRA GARCIA

Provider Business Mailing Address
First Line	:	18627 WHITE OAK AVE
Second Line	:
City	:	LOWELL
State	:	IN
Zip	:	46356-7205
Country	:	US
Telephone Number	:	219-671-7443
Fax Number	:

Provider Business Practice Location Address
First Line	:	18627 WHITE OAK AVE
Second Line	:
City	:	LOWELL
State	:	IN
Zip	:	46356-7205
Country	:	US
Telephone Number	:	219-671-7443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

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Directions to “ ALEJANDRA GARCIA ” Practice Location

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