Provider Demographics
NPI:1497038673
Name:GALVAN, DIANNA (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DIANNA
Middle Name:
Last Name:GALVAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 N ED CAREY DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8200
Mailing Address - Country:US
Mailing Address - Phone:956-428-5522
Mailing Address - Fax:
Practice Address - Street 1:2310 N ED CAREY DR STE 1A
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8200
Practice Address - Country:US
Practice Address - Phone:956-428-5522
Practice Address - Fax:956-421-2759
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX584832363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286772302Medicaid
TX286772302Medicaid