Provider Demographics
NPI:1720454804
Name:GARCIA, AILEEN CAYANAN (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:AILEEN
Middle Name:CAYANAN
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 15TH ST S
Mailing Address - Street 2:APT 208
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-5008
Mailing Address - Country:US
Mailing Address - Phone:951-317-4281
Mailing Address - Fax:
Practice Address - Street 1:7411 RIGGS RD
Practice Address - Street 2:STE 314
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4246
Practice Address - Country:US
Practice Address - Phone:301-434-0924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC001578363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics