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NPI Code Detail

MEDICARE: STEVIE LEE GALLERANI NP

MEDICARE:   STEVIE LEE GALLERANI  NP
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 NurseRN2311180MA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2311180MA

General Provider Information

NPI Number : 1417456724
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVIE LEE GALLERANI NP
Provider Business Mailing Address
First Line : 4 COLLINS AVE # 201A
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-3755
Country : US
Telephone Number : 774-221-5700
Fax Number : 781-551-3396
Provider Business Practice Location Address
First Line : 4 COLLINS AVE # 201A
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-3755
Country : US
Telephone Number : 774-221-5700
Fax Number : 781-551-3396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2018
Last Update Date : 07/25/2025

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Directions to “ STEVIE LEE GALLERANI NP” Practice Location

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