Individual
EDWARD TOBIAS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
6400 PASEO DEL NORTE BLVE NE, ALBUQUERQUE, NM 87113-1718
(505) 596-2100
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN-75449
NM
363LF0000X
Family Nurse Practitioner
Primary
54691
NM
Other
Enumeration date
07/07/2015
Last updated
10/05/2021
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