Healthcare Provider Details

I. General information

NPI: 1558846683
Provider Name (Legal Business Name): HOPE GALVIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

1916 17TH ST NW APT 104
WASHINGTON DC
20009-6203
US

V. Phone/Fax

Practice location:
  • Phone: 301-412-1275
  • Fax:
Mailing address:
  • Phone: 301-412-1275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN1032286
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: