Healthcare Provider Details

I. General information

NPI: 1427093830
Provider Name (Legal Business Name): CARRIE GALHOUSE GALHOUSE NP, RNCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MAIN ST STE 201
HATFIELD MA
01038-9786
US

IV. Provider business mailing address

59 HILBURN ST
ROSLINDALE MA
02131-4234
US

V. Phone/Fax

Practice location:
  • Phone: 413-247-5878
  • Fax: 413-247-5901
Mailing address:
  • Phone: 617-306-7186
  • Fax: 617-479-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number258872
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number258872
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: