MEDICARE: MRS. NANCY C GALYON ARNP

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	363LW0102X	Women's Health Nurse Practitioner	RN2239332	FL

General Provider Information

NPI Number	:	1295714459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY C GALYON ARNP

Provider Business Mailing Address
First Line	:	18851 SE CROSSWINDS LN
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33478-1939
Country	:	US
Telephone Number	:	561-746-8363
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HERITAGE DR
Second Line	:	SUITE 210
City	:	JUPITER
State	:	FL
Zip	:	33458-3000
Country	:	US
Telephone Number	:	561-354-1515
Fax Number	:

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

Provider Enumeration Date	:	01/15/2006
Last Update Date	:	07/08/2007

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