MEDICARE: MRS. SANDRA LIZETT GARCIA MSN, ARNP, FNP-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	A183246	IA
2	363L00000X	Nurse Practitioner	CP003691	SD

General Provider Information

NPI Number	:	1336939297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA LIZETT GARCIA MSN, ARNP, FNP-C

Provider Business Mailing Address
First Line	:	400 GOLD CIR STE 200
Second Line	:
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5505
Country	:	US
Telephone Number	:	605-273-3399
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 GOLD CIR STE 200
Second Line	:
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5505
Country	:	US
Telephone Number	:	605-273-3399
Fax Number	:

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

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	02/03/2026

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