MARIAM GARCIA FNP NPI 1104504547

NPI Information

  • NPI: 1104504547
  • Provider Name: MARIAM GARCIA, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1514 DOCTORS DR
    BOSSIER CITY, LA
    ZIP 71111
  • Phone: (318) 549-2500

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NPI Details

Mariam Garcia, FNP is a family nurse practitioner in Bossier City, LA with 3 years of experience. Mariam Garcia, FNP NPI is 1104504547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1514 DOCTORS DR
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 549-2500

The NPI 1104504547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2023 and was last updated on 12/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseL1-0055996DELAWARENo
2363LF0000XNurse PractitionerFamilyLG-0012410DELAWAREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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