Provider Demographics
NPI:1770008195
Name:NPENROUTE INC.
Entity Type:Organization
Organization Name:NPENROUTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:GALDA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-848-3068
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34605-0013
Mailing Address - Country:US
Mailing Address - Phone:352-848-3068
Mailing Address - Fax:352-848-3058
Practice Address - Street 1:26 E LIBERTY ST.
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2901
Practice Address - Country:US
Practice Address - Phone:352-848-3068
Practice Address - Fax:352-848-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty