MEDICARE: AMANDA KAY GARCIA NP

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	1019853	TX
2	363L00000X	Nurse Practitioner	1019853	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1019853	OTHER	TX	TEXAS BON
2	1019853	OTHER	TX	TX NURSING BOARD

General Provider Information

NPI Number	:	1881297463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA KAY GARCIA NP

Provider Business Mailing Address
First Line	:	3827 N LAFAYETTE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-3339
Country	:	US
Telephone Number	:	303-500-1518
Fax Number	:	720-598-0440

Provider Business Practice Location Address
First Line	:	2550 GRAY FALLS DR STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6687
Country	:	US
Telephone Number	:	713-422-2920
Fax Number	:	720-598-0440

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

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	09/16/2024

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