Provider Demographics
NPI:1578170627
Name:GARCIA, VERONICA DIANE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:DIANE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:DIANE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2816 PASILLO ROCK PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2729
Mailing Address - Country:US
Mailing Address - Phone:915-355-0004
Mailing Address - Fax:
Practice Address - Street 1:8045 N LOOP DR # A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-3227
Practice Address - Country:US
Practice Address - Phone:915-444-5460
Practice Address - Fax:915-225-3745
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily