Provider Demographics
NPI:1134683634
Name:GALANG, GIRLIE BELTRAN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:GIRLIE
Middle Name:BELTRAN
Last Name:GALANG
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:GIRLIE
Other - Middle Name:PAYAS
Other - Last Name:GALANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:4516 THIRA WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5156
Mailing Address - Country:US
Mailing Address - Phone:916-831-9714
Mailing Address - Fax:916-896-5307
Practice Address - Street 1:4516 THIRA WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5156
Practice Address - Country:US
Practice Address - Phone:916-831-9714
Practice Address - Fax:916-896-5307
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN449949163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN449959OtherREGISTERED NURSE