Provider Demographics
NPI:1306042056
Name:GALANIS, CARRIE ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:ELIZABETH
Last Name:GALANIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CARRIE
Other - Middle Name:ELIZABETH
Other - Last Name:RYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2108 HARRISBURG PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-299-1313
Mailing Address - Fax:717-299-2214
Practice Address - Street 1:2108 HARRISBURG PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-299-1313
Practice Address - Fax:717-299-2214
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052991363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00468809OtherMEDICARE RAILROAD CARRIER
PA25-1716306OtherINTERGROUP
PAMA052991OtherPA LICENSE
PA1884192OtherFIRST HEALTH
PA25-1716306OtherDEVON
PA25-1716306OtherHEALTHNET/TRICARE
PA50077867OtherCAPITAL BLUE CROSS
PA867633OtherMEDICARE GROUP #
PA867633OtherMEDICARE GROUP #
PAMR1621083OtherDEA