Provider Demographics
NPI:1518615129
Name:GARCIA, AMY DANISE (AGACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:DANISE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 ARKWRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4607
Mailing Address - Country:US
Mailing Address - Phone:804-386-5497
Mailing Address - Fax:
Practice Address - Street 1:9460 AMBERDALE DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1259
Practice Address - Country:US
Practice Address - Phone:804-533-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183382363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner