Garcia, Connie Ann

Garcia, Connie Ann is an sole proprietor health care provider with primary practice located at 6610 W Cordia Ln , Phoenix AZ 85083-7404. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Garcia, Connie Ann can be contacted via phone (623) 824-3660.

Contact Information

Primary practice address
6610 W Cordia Ln Phoenix AZ 85083-7404
Phone: (623) 824-3660
Fax: (623) 572-9405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN092190 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 232 Arizona

Profile Details

NPI number 1578670121
LBN Legal business name Garcia, Connie Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Aug 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578670121 NPPES
Arizona MEDICAID 497835

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