Provider Demographics
NPI:1144503970
Name:GARNES, DENISE A (DOM)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:A
Last Name:GARNES
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:GARNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:5400 E WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4411
Mailing Address - Country:US
Mailing Address - Phone:505-463-1140
Mailing Address - Fax:
Practice Address - Street 1:3501 E SPEEDWAY BLVD STE 351
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3917
Practice Address - Country:US
Practice Address - Phone:520-540-2723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1053171100000X
AZ328688363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No171100000XOther Service ProvidersAcupuncturist