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NPI Code Detail

MEDICARE: KATHERINE GALGANI RENSING CPNP-PC

MEDICARE: KATHERINE GALGANI RENSING CPNP-PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner129526IN

General Provider Information

NPI Number : 1407338163
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE GALGANI RENSING CPNP-PC
Provider Business Mailing Address
First Line : 7301 N COMANCHE AVE
Second Line :
City : WARR ACRES
State : OK
Zip : 73132-6646
Country : US
Telephone Number : 405-271-4646
Fax Number :
Provider Business Practice Location Address
First Line : 7301 N COMANCHE AVE
Second Line :
City : WARR ACRES
State : OK
Zip : 73132-6646
Country : US
Telephone Number : 405-271-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 08/29/2018

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