Healthcare Provider Details

I. General information

NPI: 1538051321
Provider Name (Legal Business Name): ANGELA H GALLOWAY R N
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 HIGHWAY 57 STE C
EVANSVILLE IN
47725-9704
US

IV. Provider business mailing address

160 BOARD RD
DAWSON SPRINGS KY
42408-5900
US

V. Phone/Fax

Practice location:
  • Phone: 866-288-8001
  • Fax:
Mailing address:
  • Phone: 270-836-8910
  • Fax: 270-836-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number1084067
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: