Provider Demographics
NPI:1073289633
Name:GALATI, GABRIELE GIOVANNI (CRNA)
Entity Type:Individual
Prefix:
First Name:GABRIELE
Middle Name:GIOVANNI
Last Name:GALATI
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 CALEDON CT
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-4451
Mailing Address - Country:US
Mailing Address - Phone:573-768-5772
Mailing Address - Fax:
Practice Address - Street 1:3613 CALEDON CT
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-4451
Practice Address - Country:US
Practice Address - Phone:573-768-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018006259390200000X
MI4704394800367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program