Healthcare Provider Details

I. General information

NPI: 1437740164
Provider Name (Legal Business Name): JOANNE GALASSO, VISITING PC/PMHNP-NP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2418 E YORK ST
PHILADELPHIA PA
19125-3006
US

IV. Provider business mailing address

2418 E YORK ST
PHILADELPHIA PA
19125-3006
US

V. Phone/Fax

Practice location:
  • Phone: 262-209-6732
  • Fax: 267-441-8386
Mailing address:
  • Phone: 262-209-6732
  • Fax: 267-441-8386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JOANNE GALASSO
Title or Position: OWNER
Credential: DNP
Phone: 267-209-6732