MEDICARE: CRISTINE KASTNER-GALVIN APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APN000954	NV

General Provider Information

NPI Number	:	1033397898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINE KASTNER-GALVIN APN

Provider Business Mailing Address
First Line	:	10595 FAIRFIELD AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-4633
Country	:	US
Telephone Number	:	702-274-7825
Fax Number	:

Provider Business Practice Location Address
First Line	:	7180 CASCADE VALLEY CT STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1407
Country	:	US
Telephone Number	:	702-892-8007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	07/10/2012

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