Provider Demographics
NPI:1558153734
Name:GARCIA, ATHENA CAROLINE (CNA)
Entity type:Individual
Prefix:
First Name:ATHENA
Middle Name:CAROLINE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E 6TH ST APT 9
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:NE
Mailing Address - Zip Code:68784-5022
Mailing Address - Country:US
Mailing Address - Phone:712-253-7236
Mailing Address - Fax:
Practice Address - Street 1:207 E 6TH ST APT 1
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:NE
Practice Address - Zip Code:68784-5022
Practice Address - Country:US
Practice Address - Phone:712-253-7236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE152262376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide