Provider Demographics
NPI:1861046625
Name:GARCIA, ELVA PLATA (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:ELVA
Middle Name:PLATA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25887 STATE HIGHWAY 345
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-7581
Mailing Address - Country:US
Mailing Address - Phone:956-495-4626
Mailing Address - Fax:
Practice Address - Street 1:597 W SESAME DR STE A
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8365
Practice Address - Country:US
Practice Address - Phone:956-425-9181
Practice Address - Fax:956-425-1262
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142147363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner