Provider Demographics
NPI:1891401352
Name:GARZA, ANA K (CHW, RMA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:K
Last Name:GARZA
Suffix:
Gender:F
Credentials:CHW, RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-2106
Mailing Address - Country:US
Mailing Address - Phone:507-479-9631
Mailing Address - Fax:
Practice Address - Street 1:622 S FRONT ST
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2106
Practice Address - Country:US
Practice Address - Phone:507-479-9631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker