Provider Demographics
NPI:1417425232
Name:GALGANI, CHARITY JOANNA LETKO (WHNP)
Entity Type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:JOANNA LETKO
Last Name:GALGANI
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 505633
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-5633
Mailing Address - Country:US
Mailing Address - Phone:314-432-3669
Mailing Address - Fax:314-432-3118
Practice Address - Street 1:3023 N BALLAS RD
Practice Address - Street 2:STE 120D
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2330
Practice Address - Country:US
Practice Address - Phone:314-432-3669
Practice Address - Fax:314-432-3118
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2018040839363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420076935Medicaid