Provider Demographics
NPI:1932656568
Name:GALANEK, MEGAN (APN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GALANEK
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2291 HANNAHS LN
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-4486
Mailing Address - Country:US
Mailing Address - Phone:708-926-4669
Mailing Address - Fax:
Practice Address - Street 1:1210 E 4TH ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-2016
Practice Address - Country:US
Practice Address - Phone:484-408-0755
Practice Address - Fax:833-905-2298
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020169363LF0000X
IL209014708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily