MEDICARE: MRS. AMY DANISE GARCIA AGACNP-BC

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	363L00000X	Nurse Practitioner	0024183382	VA

General Provider Information

NPI Number	:	1518615129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY DANISE GARCIA AGACNP-BC

Provider Business Mailing Address
First Line	:	40 ARKWRIGHT RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-4607
Country	:	US
Telephone Number	:	804-386-5497
Fax Number	:

Provider Business Practice Location Address
First Line	:	9460 AMBERDALE DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1259
Country	:	US
Telephone Number	:	804-533-0220
Fax Number	:

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

Provider Enumeration Date	:	03/13/2022
Last Update Date	:	03/13/2022

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