MEDICARE: GALIA GALINDO 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	11008630	FL
2	363LF0000X	Family Nurse Practitioner	834723	NV

General Provider Information

NPI Number	:	1922610187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GALIA GALINDO FNP

Provider Business Mailing Address
First Line	:	4055 SPENCER ST STE 216
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5251
Country	:	US
Telephone Number	:	702-206-5474
Fax Number	:	702-778-7615

Provider Business Practice Location Address
First Line	:	4055 SPENCER ST STE 216
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5251
Country	:	US
Telephone Number	:	702-206-5474
Fax Number	:	702-778-7615

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

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	04/05/2024

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