Healthcare Provider Details

I. General information

NPI: 1174063408
Provider Name (Legal Business Name): ROBIN WHITTEN-GALVAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 HART LN
NASHVILLE TN
37243-1405
US

IV. Provider business mailing address

710 HART LN
NASHVILLE TN
37243-1405
US

V. Phone/Fax

Practice location:
  • Phone: 615-650-7038
  • Fax:
Mailing address:
  • Phone: 615-650-7038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number93855
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: