Provider Demographics
NPI:1336939297
Name:GARCIA, SANDRA LIZETT (MSN, ARNP, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LIZETT
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 GOLD CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5505
Mailing Address - Country:US
Mailing Address - Phone:605-273-3399
Mailing Address - Fax:
Practice Address - Street 1:400 GOLD CIR STE 200
Practice Address - Street 2:
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5505
Practice Address - Country:US
Practice Address - Phone:605-273-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA183246363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner