Provider Demographics
NPI:1497138994
Name:GARZA, CAYSIE N (APRN FNP-C LLC)
Entity Type:Individual
Prefix:
First Name:CAYSIE
Middle Name:N
Last Name:GARZA
Suffix:
Gender:F
Credentials:APRN FNP-C LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 W OKMULGEE ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-4646
Mailing Address - Country:US
Mailing Address - Phone:918-683-5025
Mailing Address - Fax:918-683-2618
Practice Address - Street 1:4200 W OKMULGEE ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4646
Practice Address - Country:US
Practice Address - Phone:918-683-5025
Practice Address - Fax:918-683-2618
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK93131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily