Provider Demographics
NPI:1548569874
Name:GARCIA, SARA J (RN)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:J
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4055 MONTGOMERY BLVD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1178
Mailing Address - Country:US
Mailing Address - Phone:505-884-4464
Mailing Address - Fax:505-884-0093
Practice Address - Street 1:4055 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1178
Practice Address - Country:US
Practice Address - Phone:505-884-4464
Practice Address - Fax:505-884-0093
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMRN69680163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse