Provider Demographics
NPI:1346600707
Name:GAGLIANO, KAREN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:GAGLIANO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 NW PLEASANT GROVE WAY
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-3583
Mailing Address - Country:US
Mailing Address - Phone:772-344-6807
Mailing Address - Fax:
Practice Address - Street 1:233 NW PLEASANT GROVE WAY
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-3583
Practice Address - Country:US
Practice Address - Phone:772-344-6807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-28
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9272051363LF0000X
FLAPRN9272051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily