Provider Demographics
NPI:1265843098
Name:SUMMER GALECKI APRN LLC
Entity Type:Organization
Organization Name:SUMMER GALECKI APRN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:GALECKI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-912-4507
Mailing Address - Street 1:850 WALLINGFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2939
Mailing Address - Country:US
Mailing Address - Phone:203-912-4507
Mailing Address - Fax:877-852-2261
Practice Address - Street 1:850 WALLINGFORD RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2939
Practice Address - Country:US
Practice Address - Phone:203-912-4507
Practice Address - Fax:877-852-2261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003270363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty