Provider Demographics
NPI:1932174067
Name:GARCIA-GARRETT, MARGARET M (NP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:GARCIA-GARRETT
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-7040
Mailing Address - Fax:757-446-7049
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-7040
Practice Address - Fax:757-446-7049
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024142513363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1932174067OtherMULTIPLAN
VA1932174067OtherVIRGINIA PREMIER HEALTH PLAN
VA1932174067OtherUSA MANAGED CARE
NC1932174067Medicaid
VA1932174067OtherOPTIMA HEALTH
VA1932174067Medicaid
VA1932174067OtherCORVEL
VA1932174067OtherTRICARE/CHAMPUS
VA1932174067Medicaid
VA1932174067OtherCORVEL
S20873Medicare UPIN