Healthcare Provider Details
I. General information
NPI: 1336025196
Provider Name (Legal Business Name): MARIA ALESSANDRIA EGIPTO GALERA DNP, ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/15/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 ALLEN AVE
GLENDALE CA
91201-2803
US
IV. Provider business mailing address
1263 BRESEE AVE
PASADENA CA
91104-3124
US
V. Phone/Fax
- Phone: 312-635-0973
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 95037385 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | 95037385 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: