Individual
ELISE GARCIA HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5619
(678) 352-4322
Mailing address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(770) 643-5619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
888575
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60629648
WA
Other
Enumeration date
11/10/2015
Last updated
03/11/2016
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