Garcia, Edwina Christine
Garcia, Edwina Christine is an individual health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109-4397. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Garcia, Edwina Christine can be contacted via phone (505) 842-8171.Contact Information
Primary practice address
4901 Lang Ave Ne
Albuquerque NM 87109-4397
Phone: (505) 842-8171
Fax: (505) 246-0684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2004-0057 | New Mexico |
Profile Details
| NPI number | 1306847876 |
|---|---|
| LBN Legal business name | Garcia, Edwina Christine |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Sep 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306847876 | NPPES |
| New Mexico | MEDICAID | 10171088 | |
| New Mexico | MEDICAID | 19321325 |
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