Provider Demographics
NPI:1508023326
Name:GALVIN, ROSEMARY (RN MS CPNP)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:GALVIN
Suffix:
Gender:F
Credentials:RN MS CPNP
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:RADIOLOGY ROOM 288
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-6120
Mailing Address - Fax:617-730-0541
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:RADIOLOGY ROOM 288
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6120
Practice Address - Fax:617-730-0541
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA124532363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics