MEDICARE: NOEMI GARZA NP-C

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	363LP2300X	Primary Care Nurse Practitioner	5012140	NC

General Provider Information

NPI Number	:	1154979730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEMI GARZA NP-C

Provider Business Mailing Address
First Line	:	5221 PARAMOUNT PKWY STE 220
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5720 CREEDMOOR RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-2382
Country	:	US
Telephone Number	:	919-277-0345
Fax Number	:

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

Provider Enumeration Date	:	08/28/2019
Last Update Date	:	02/25/2025

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