Individual provider · NPI-1
Philip Michael Gallinaro, APRN, FNP-BC
Nurse Practitioner, Family · Peoria, AZ
NPI number1043476740
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1043476740
- Entity type
- Individual (NPI-1)
- Name
- Philip Michael Gallinaro
- Credential
- APRN, FNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2008
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 868097 | NV | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
8572 W Purdue AvePeoria, AZ 85345-5349
Phone 602-653-7816
Mailing address
9183 W Flamingo Rd Ste 100Las Vegas, NV 89147-6464
Phone 602-653-7816 · Fax 702-975-9292
Other practice locations
9183 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6464
Las Vegas, NV 89147-6464
Phone 602-653-7816 · Fax 702-975-9292
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