MEDICARE: LORRAINE MARTIN GARCIA WHNP-BC, CNM

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	367A00000X	Advanced Practice Midwife	APRN002028	NV
2	367A00000X	Advanced Practice Midwife	25ME00080501	NJ

General Provider Information

NPI Number	:	1528396603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRAINE MARTIN GARCIA WHNP-BC, CNM

Provider Business Mailing Address
First Line	:	332 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2623
Country	:	US
Telephone Number	:	702-269-6018
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 W CHARLESTON BLVD STE 78
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1910
Country	:	US
Telephone Number	:	702-269-6018
Fax Number	:	702-269-6081

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

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	04/17/2024

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