Michelle M Gallo, RN NP
Nurse Practitioner in Phoenix, AZ. Individual provider (NPI-1).
NPI number1083781405
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083781405
- Entity type
- Individual (NPI-1)
- Name
- Ms. Michelle M Gallo
- Credential
- RN NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 096 | AZ | Yes |
| 363L00000X | Nurse Practitioner | RN035809 | AZ |
Practice location
3346 W Bell RdPhoenix, AZ 85053
Phone 602-993-2580 · Fax 602-843-8914
Mailing address
4351 W Wahalla LnGlendale, AZ 85308-7345
Phone 623-492-9131
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