Provider Demographics
NPI:1730660341
Name:GARCIA, NIMOOL KEO (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NIMOOL
Middle Name:KEO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:NIMOOL
Other - Middle Name:
Other - Last Name:KEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3675 BELLAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-7259
Mailing Address - Country:US
Mailing Address - Phone:559-375-5651
Mailing Address - Fax:
Practice Address - Street 1:6234 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5446
Practice Address - Country:US
Practice Address - Phone:559-435-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily