Provider Demographics
NPI:1356321574
Name:GARCIA, DAWN MS (APRN)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MS
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 WESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4383
Mailing Address - Country:US
Mailing Address - Phone:860-524-2749
Mailing Address - Fax:860-633-2466
Practice Address - Street 1:330 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4383
Practice Address - Country:US
Practice Address - Phone:860-524-2749
Practice Address - Fax:860-633-2466
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001583363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT061406459OtherBERKLEY
CT061406459OtherMULTIPLAN
CT061406459OtherGREAT WEST HEALTHCARE
CT001583OtherCONNECTICARE
CT061406459OtherPIONEER
CT061406459OtherNORTHEAST HEALTH DIRECT
CT061406459OtherPRIVATE HEALTHCARE SYSTEMS
CT061406459OtherPRIME HEALTH
CT1356321574OtherANTHEM BCBS
CT004188844Medicaid
CT061406459OtherCOMMUNITY HEALTH NETWORK
CT061406459OtherTRICARE
CT3V3472OtherHEALTH NET
CT3V3472OtherHEALTH NET
CT061406459OtherCOMMUNITY HEALTH NETWORK
CT500001323Medicare ID - Type Unspecified