MEDICARE: MISS KAYLA MARIE GALETTA RN

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	163WP0200X	Pediatric Registered Nurse	RN2322705	MA
2	163W00000X	Registered Nurse	252263	AZ

General Provider Information

NPI Number	:	1770089062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KAYLA MARIE GALETTA RN

Provider Business Mailing Address
First Line	:	200 W GERMANN RD APT 3140
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-4223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 E MONROE ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-4437
Country	:	US
Telephone Number	:	602-496-1000
Fax Number	:

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

Provider Enumeration Date	:	04/04/2018
Last Update Date	:	04/22/2024

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