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NPI Code Detail

MEDICARE: PATRICK GARCIA CNP

MEDICARE: PATRICK GARCIA CNP
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
1363LA2100XAcute Care Nurse PractitionerCNP-02519NM

General Provider Information

NPI Number : 1891198081
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK GARCIA CNP
Provider Business Mailing Address
First Line : 5819 COYOTE PEAK PLACE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012
Country : US
Telephone Number : 575-496-5223
Fax Number :
Provider Business Practice Location Address
First Line : 5819 COYOTE PEAK PLACE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012
Country : US
Telephone Number : 575-496-5223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2014
Last Update Date : 10/01/2014

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