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NPI Code Detail

MEDICARE: MRS. JUDITH RITA GALLOB MSN,APRN-BC,ANP

MEDICARE: MRS. JUDITH RITA GALLOB MSN,APRN-BC,ANP
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
1163WX0106XOccupational Health Registered NurseRN-052786AZ
2363LA2200XAdult Health Nurse Practitioner000048AZ

General Provider Information

NPI Number : 1225028384
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH RITA GALLOB MSN,APRN-BC,ANP
Provider Business Mailing Address
First Line : 32001 N 45TH ST
Second Line :
City : CAVE CREEK
State : AZ
Zip : 85331-5477
Country : US
Telephone Number : 480-488-6907
Fax Number :
Provider Business Practice Location Address
First Line : 2601 E ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4973
Country : US
Telephone Number : 602-344-5210
Fax Number : 602-344-5997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 09/11/2025

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