Provider Demographics
NPI:1033397898
Name:KASTNER-GALVIN, CRISTINE (APN)
Entity Type:Individual
Prefix:
First Name:CRISTINE
Middle Name:
Last Name:KASTNER-GALVIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10595 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-4633
Mailing Address - Country:US
Mailing Address - Phone:702-274-7825
Mailing Address - Fax:
Practice Address - Street 1:7180 CASCADE VALLEY CT STE 180
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1407
Practice Address - Country:US
Practice Address - Phone:702-892-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily