Provider Demographics
NPI:1316819287
Name:GARCES, ANISSA RACHEL (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ANISSA
Middle Name:RACHEL
Last Name:GARCES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 REFLECTIONS BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8233
Mailing Address - Country:US
Mailing Address - Phone:631-774-5788
Mailing Address - Fax:
Practice Address - Street 1:4311 REFLECTIONS BLVD APT 201
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8233
Practice Address - Country:US
Practice Address - Phone:631-774-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9203941363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner