Provider Demographics
NPI:1144673732
Name:GARZIA, EMILIA R (RN)
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:R
Last Name:GARZIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 BEAVER DAM REACH
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-6101
Mailing Address - Country:US
Mailing Address - Phone:302-430-3272
Mailing Address - Fax:
Practice Address - Street 1:118 BEAVER DAM REACH
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6101
Practice Address - Country:US
Practice Address - Phone:302-430-3272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0042633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse