Provider Demographics
NPI:1851385207
Name:GARCIA, DANIELLE DENISE (NP)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:DENISE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20441 S 187TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-3594
Mailing Address - Country:US
Mailing Address - Phone:480-840-3164
Mailing Address - Fax:840-840-3164
Practice Address - Street 1:1432 S DOBSON RD
Practice Address - Street 2:SUITE 509
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4768
Practice Address - Country:US
Practice Address - Phone:480-834-5111
Practice Address - Fax:480-834-5222
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2271363LA2100X
AZAP2255363LA2200X
AZAP8490363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
106466Medicare PIN
Q55912Medicare UPIN