Provider Demographics
NPI:1386187839
Name:GALETTI, DENAE (FNP)
Entity Type:Individual
Prefix:
First Name:DENAE
Middle Name:
Last Name:GALETTI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DENAE
Other - Middle Name:
Other - Last Name:ARCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:1100 CARSON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LA JUNTA
Mailing Address - State:CO
Mailing Address - Zip Code:81050-2748
Mailing Address - Country:US
Mailing Address - Phone:719-383-5914
Mailing Address - Fax:
Practice Address - Street 1:1100 CARSON AVE STE 201
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050-2748
Practice Address - Country:US
Practice Address - Phone:719-383-5914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2000022882255A2300X
COAPN-0999330-NP207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer