Healthcare Provider Details

I. General information

NPI: 1194388496
Provider Name (Legal Business Name): ANNE E. GALANIS DNP- DOCTOR OF NURSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE MCDOWELL

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DEPUTY DEAN MIERA DR SW: BERNALILLO COUNTY METROPOL
ALBUQUERQUE NM
87151
US

IV. Provider business mailing address

100 DEPUTY DEAN MIERA DR SW: BERNALILLO COUNTY METROPOL
ALBUQUERQUE NM
87151
US

V. Phone/Fax

Practice location:
  • Phone: 505-839-8830
  • Fax:
Mailing address:
  • Phone: 505-839-8830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP-03501
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: