Doctor Name: | MRS. MARY ANN GARNICA |
NPI Number: | 1164562948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | A03248 |
Business Practice Address: | 22 Ouachita Dr Maumelle, AR - 721136374 |
Business Phone Number: | 9189789555 |
Business Fax Number: | |
Mailing Address: | 22 Ouachita Dr, MAUMELLE |
State: | AR |
Postal Code: | 721136374 |
Phone Number: | 9189789555 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |