Provider Demographics
NPI:1790280642
Name:GALVAN, NATALIA ANDREA (NP)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:ANDREA
Last Name:GALVAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1831 BIARRITZ DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4727
Mailing Address - Country:US
Mailing Address - Phone:786-246-3784
Mailing Address - Fax:
Practice Address - Street 1:7100 W 20TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1812
Practice Address - Country:US
Practice Address - Phone:305-557-9300
Practice Address - Fax:305-825-8424
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9295131363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner