MEDICARE: MR. SHEILA M GALVIN FNP

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	0024165016	VA

General Provider Information

NPI Number	:	1568441277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHEILA M GALVIN FNP

Provider Business Mailing Address
First Line	:	389 PINE LN
Second Line	:
City	:	BOYDTON
State	:	VA
Zip	:	23917-4328
Country	:	US
Telephone Number	:	540-842-8913
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 COMMONWEALTH PL STE 200-404
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4517
Country	:	US
Telephone Number	:	800-465-3203
Fax Number	:

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	09/04/2024

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