Maritza Gallegos-Mahmood, CRNA
Nurse Anesthetist, Certified Registered in Richmond, VA. Individual provider (NPI-1).
NPI number1124359385
StatusActive
Last updated in NPPESFeb 18, 2015
Details
- NPI
- 1124359385
- Entity type
- Individual (NPI-1)
- Name
- Ms. Maritza Gallegos-Mahmood
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2010
- Last updated
- Feb 18, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 084214 | VA | Yes |
| 163W00000X | Registered Nurse | 0001208734 | VA |
Practice location
1602 Skipwith RdRichmond, VA 23229-5205
Phone 804-289-4937
Mailing address
9720 Pemberton Crossing DrRichmond, VA 23294-5345
Phone 804-447-4816
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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