MEDICARE: BRIANNA ANDREA 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	163W00000X	Registered Nurse	95225130	CA

General Provider Information

NPI Number	:	1326803974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA ANDREA GARCIA

Provider Business Mailing Address
First Line	:	50131 GRECO DR
Second Line	:
City	:	COACHELLA
State	:	CA
Zip	:	92236-7306
Country	:	US
Telephone Number	:	760-619-8387
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 S FARRELL DR STE A208
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7931
Country	:	US
Telephone Number	:	760-202-4308
Fax Number	:

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

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	02/13/2024

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