Healthcare Provider Details

I. General information

NPI: 1891839247
Provider Name (Legal Business Name): GALE GARCIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 DOWNING ST
DENVER CO
80218-1529
US

IV. Provider business mailing address

3593 DEXTER ST
DENVER CO
80207-1000
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-1810
  • Fax:
Mailing address:
  • Phone: 303-377-3382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number68069
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: