MEDICARE: MICHELLE GARCIA RN

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	163WG0000X	General Practice Registered Nurse	53898	NM

General Provider Information

NPI Number	:	1083569537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE GARCIA RN

Provider Business Mailing Address
First Line	:	2651 ORO VISTA RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-2947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 RIO GRANDE BLVD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87104-2057
Country	:	US
Telephone Number	:	505-319-1809
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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