Provider Demographics
NPI:1225028384
Name:GALLOB, JUDITH RITA (MSN,APRN-BC,ANP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:RITA
Last Name:GALLOB
Suffix:
Gender:F
Credentials:MSN,APRN-BC,ANP
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:RITA
Other - Last Name:RUGLOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32001 N 45TH ST
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5477
Mailing Address - Country:US
Mailing Address - Phone:480-488-6907
Mailing Address - Fax:
Practice Address - Street 1:2601 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4973
Practice Address - Country:US
Practice Address - Phone:602-344-5210
Practice Address - Fax:602-344-5997
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN-052786163WX0106X
AZ000048363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health