Provider Demographics
NPI:1821212820
Name:GARCIA, VANESSA M (RN)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9859 PASEO MONTRIL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3912
Mailing Address - Country:US
Mailing Address - Phone:858-538-3773
Mailing Address - Fax:858-538-3773
Practice Address - Street 1:9335 HAZARD WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1222
Practice Address - Country:US
Practice Address - Phone:858-495-5076
Practice Address - Fax:858-495-5671
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA494226163W00000X, 163WC0400X, 163WC1500X, 163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered163WG0100XNursing Service ProvidersRegistered NurseGastroenterology