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NPI Code Detail

MEDICARE: NICOLE MARIE GALLOWAY APRN-CNP, PMHNP

MEDICARE: NICOLE MARIE GALLOWAY APRN-CNP, PMHNP
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
1163W00000XRegistered NurseRN.1643406CO
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.1001476-NPCO

General Provider Information

NPI Number : 1073478772
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARIE GALLOWAY APRN-CNP, PMHNP
Provider Business Mailing Address
First Line : 743 HORIZON CT STE 220
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8716
Country : US
Telephone Number : 970-432-3361
Fax Number :
Provider Business Practice Location Address
First Line : 743 HORIZON CT STE 220
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8716
Country : US
Telephone Number : 970-432-3361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 02/12/2026

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