Healthcare Provider Details

I. General information

NPI: 1134048754
Provider Name (Legal Business Name): ABRIELLE S GALVAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1934 7TH AVE
SCOTTSBLUFF NE
69361-2505
US

IV. Provider business mailing address

1934 7TH AVE
SCOTTSBLUFF NE
69361-2505
US

V. Phone/Fax

Practice location:
  • Phone: 307-346-1138
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: