MEDICARE: XIOMARA GALEANO APRN

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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	14021	CT

General Provider Information

NPI Number	:	1760209076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIOMARA GALEANO APRN

Provider Business Mailing Address
First Line	:	25 BREWSTER RD
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-3737
Country	:	US
Telephone Number	:	203-615-8252
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 PARK AVE
Second Line	:
City	:	BRIDGEPORT
State	:	CT
Zip	:	06604-5859
Country	:	US
Telephone Number	:	203-330-6000
Fax Number	:

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

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	07/25/2025

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