Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APN.0990749-NP | CO |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0990749 | CO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0990749-NP | CO |
N | 363LG0600X | Nurse Practitioner - Gerontology | APN0990749-NP | CO |
NPI | 1023457751 |
---|---|
Provider Name | Carla K Garcia |
First Address | Denver, CO 80291-2215 |
Second Address | Fort Collins, CO 80524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2013 |
Last Update Date | 24/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
44576544 | (05) | CO |