Healthcare Provider Details

I. General information

NPI: 1922610187
Provider Name (Legal Business Name): GALIA GALINDO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 PHOENIX AVE STE 201
WATERBURY CT
06702-1418
US

IV. Provider business mailing address

4055 SPENCER ST STE 216
LAS VEGAS NV
89119-5251
US

V. Phone/Fax

Practice location:
  • Phone: 203-756-8021
  • Fax:
Mailing address:
  • Phone: 702-206-5474
  • Fax: 702-778-7615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number834723
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14625
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11008630
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: