STACY ANN GARNICA


Address: 589 S State St, Provo, UT 84606
Phone: 8014292000

STACY ANN GARNICA (NPI# 1902151954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902151954
Entity Type Individual
Full Name STACY ANN GARNICA
Credential NP-C
Practice Address 589 S State St
Provo
UT 84606
Mailing Address 589 S State St
Provo
UT 84606-5056
Practice Telephone 8014292000
Mailing Telephone 8014292000
Enumeration Date 2012-07-16
Last Update Date 2018-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5586094-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 589 S STATE ST
City PROVO
State UT
Zip Code 84606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427075134 Mountainlands Community Health Center, Inc Dentist 589 S State St, Provo, UT 84606-5056 2006-07-17
1144829946 Mountainlands Community Health Center, Inc Dentist 589 S State St, Provo, UT 84606-5056 2020-10-22
1295347169 Maria Dj Villagrana Nurse Practitioner 589 S State St, Provo, UT 84606-5056 2020-08-20
1932678307 Sarah Gwendolyn Harmon Davis Nurse Practitioner 589 S State St, Provo, UT 84606-5056 2018-11-15
1003334525 Kelly Marie Daly-wolfe Physician Assistant 589 S State St, Provo, UT 84606 2017-09-05
1497290555 Elizabeth Anne Balle Social Worker 589 S State St, Provo, UT 84606-5056 2016-12-28
1639539521 Leslie Divall Midwife 589 S State St, Provo, UT 84606-5056 2016-03-04
1871960823 Verdon Reed Walker IIi Physician Assistant 589 S State St, Provo, UT 84606-5056 2015-08-25
1801223425 Tyler David Sommer Physician Assistant 589 S State St, Provo, UT 84606-5056 2013-09-27
1871812370 Mountainlands Family Pharmacy Pharmacy 589 S State St, Provo, UT 84606-5056 2010-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053935551 Olivia Stiles Specialist/Technologist 200 E 515 N, Provo, UT 84606 2020-06-01
1417439076 Quin Spencer Volpe Counselor 1035 E 560 N, Provo, UT 84606 2018-08-30
1700365434 Hyunwook Lee Specialist/Technologist 1369 S 1500 E, Provo, UT 84606 2018-08-13
1598268930 Victor Bert Arthur Moxley Specialist 290 N 300 E, Provo, UT 84606 2018-03-12
1184132623 Academy Dental LLC Advanced Practice Dental Therapist 488 N 100 E St., Provo, UT 84606 2018-01-18
1720433485 Sean Lamb Counselor 231 S. 100 E., Provo, UT 84606 2016-05-02
1508236795 Forever Young Dentistry Pllc Clinic/Center 2335 S. State Street, Ste #200, Provo, UT 84606 2015-09-30
1558766014 Nancy Huber Physician Assistant Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 2014-10-27
1356778377 Myrna Suzanne Gillis Marriage & Family Therapist 1726 Buckley Drive, Provo, UT 84606 2013-10-04
1558651067 Melissa Anne Mccreary Counselor 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 2011-04-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750998860 Jeremy Llewellyn Nurse Practitioner 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 2020-09-24
1336765882 Julie Andrea Rogers Nurse Practitioner 428 W 4620 N, Provo, UT 84604-5537 2020-06-21
1992337208 Xiao Xiao Zou Hoffman Nurse Practitioner 1747 N 1500 W, Provo, UT 84604-1146 2020-02-05
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1174095855 Jared Hawkins Nurse Practitioner 1034 N 500 W # 84604, Provo, UT 84604-3380 2018-12-19
1891270062 Catherine Leilani Barrus Nurse Practitioner 2833 Indian Hills Cir, Provo, UT 84604-4333 2018-10-03
1760968804 Amanda Graves Nurse Practitioner 1900 N State St Ste 103, Provo, UT 84604-1354 2018-07-12
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1205356250 Gordon Dale Mills Jr. Nurse Practitioner 1055 N 500 W # 212, Provo, UT 84604-3305 2017-06-21
1770034845 Megan Mackenzie Zitting Nurse Practitioner 1437 E 1270 S, Provo, UT 84606-6527 2016-10-24
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Competitor

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City PROVO
Zip Code 84606

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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