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NPI Code Detail

MEDICARE: MARIA GARCIA

MEDICARE: MARIA 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
1164W00000XLicensed Practical Nurse2023004887MO

General Provider Information

NPI Number : 1366306987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GARCIA
Provider Business Mailing Address
First Line : 2103 N DOUGLASS ST
Second Line :
City : MALDEN
State : MO
Zip : 63863-1141
Country : US
Telephone Number : 573-888-5925
Fax Number :
Provider Business Practice Location Address
First Line : 2103 N DOUGLASS ST
Second Line :
City : MALDEN
State : MO
Zip : 63863-1141
Country : US
Telephone Number : 573-888-5925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ MARIA GARCIA ” Practice Location

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