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MISTY JO GALLEGOS APRN, CPNP-PC

Individual Provider (NPI-1) Active

Nurse Practitioner, Pediatrics

Provider Information

NPI Number
1629796982
Provider Type
Individual Provider (NPI-1)
Credentials
APRN, CPNP-PC
Status
Active

Contact & Location

Address
2600 GREENBUSH ST, LAFAYETTE, IN, 479042477
Phone
(765) 448-8000

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program License: IN #28152890A
Nurse Practitioner, Pediatrics Primary License: IN #71014809A
Registered Nurse License: IN #28152890A
Registered Nurse, Neonatal Intensive Care License: IN #28152890C
Registered Nurse License: CA #604722
Nurse Practitioner, Pediatrics License: IN #28152890A

All Addresses

LOCATION

2600 GREENBUSH ST

LAFAYETTE, IN, 479042477

(765) 448-8000

MAILING

1101 LAMBSDOWNE LN

WEST LAFAYETTE, IN, 479068717

(707) 628-5827