Provider Demographics
NPI:1447911839
Name:GARCIA, DEVON B (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MR
First Name:DEVON
Middle Name:B
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4744 HIGHWAY 52
Mailing Address - Street 2:
Mailing Address - City:WIGGINS
Mailing Address - State:CO
Mailing Address - Zip Code:80654-7517
Mailing Address - Country:US
Mailing Address - Phone:720-231-2486
Mailing Address - Fax:
Practice Address - Street 1:10569 CHAMBERS RD UNIT 102
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-8951
Practice Address - Country:US
Practice Address - Phone:303-286-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1627775163WC0200X
CO0997287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine