Provider Demographics
NPI:1427089390
Name:GARNICA, HILLARY YOUNG (PA)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:YOUNG
Last Name:GARNICA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4811 E GRANT RD
Mailing Address - Street 2:STE 261
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2776
Mailing Address - Country:US
Mailing Address - Phone:520-297-1345
Mailing Address - Fax:520-297-3539
Practice Address - Street 1:6565 E CARONDELET DR
Practice Address - Street 2:STE 285
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3529
Practice Address - Country:US
Practice Address - Phone:520-618-1010
Practice Address - Fax:520-784-7040
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2015-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2126363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ110617Medicare PIN
AZP93776Medicare UPIN