Provider Demographics
NPI:1144697277
Name:GARCIA, CRISTIANNA (DNP)
Entity type:Individual
Prefix:DR
First Name:CRISTIANNA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 S WALNUT ST BLDG 3
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-1425
Mailing Address - Country:US
Mailing Address - Phone:575-545-2697
Mailing Address - Fax:
Practice Address - Street 1:780 S WALNUT ST BLDG 3
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1425
Practice Address - Country:US
Practice Address - Phone:575-545-2697
Practice Address - Fax:575-339-2030
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128556363LP0200X
NMCNP-02976363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics