Individual
MILDRED GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6425 W MIAMI ST, PHOENIX, AZ 85043-1937
(717) 330-2451
Mailing address
6425 W MIAMI ST, PHOENIX, AZ 85043-1937
(623) 387-3333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN553834
PA
363LF0000X
Family Nurse Practitioner
Primary
247155
AZ
363LP2300X
Primary Care Nurse Practitioner
247155
AZ
Other
Enumeration date
08/19/2011
Last updated
03/01/2023
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