Healthcare Provider Details

I. General information

NPI: 1770089062
Provider Name (Legal Business Name): KAYLA MARIE GALETTA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 E MONROE ST
PHOENIX AZ
85004-4437
US

IV. Provider business mailing address

200 W GERMANN RD APT 3140
CHANDLER AZ
85286-4223
US

V. Phone/Fax

Practice location:
  • Phone: 602-496-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN2322705
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number252263
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: