Provider Demographics
NPI:1538397237
Name:GARCIA, CYNTHIA E (RN)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:E
Last Name:GARCIA
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 1:1900 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-2801
Mailing Address - Country:US
Mailing Address - Phone:608-741-3539
Mailing Address - Fax:608-741-3534
Practice Address - Street 1:1900 CENTER AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-2801
Practice Address - Country:US
Practice Address - Phone:608-741-3539
Practice Address - Fax:608-741-3534
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI88183-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse