Provider Demographics
NPI:1265253306
Name:GALVEZ, CRISPINA IGNACIO (FNP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:CRISPINA
Middle Name:IGNACIO
Last Name:GALVEZ
Suffix:
Gender:F
Credentials:FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6241 SIERRA KNOLLS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7208
Mailing Address - Country:US
Mailing Address - Phone:805-441-5593
Mailing Address - Fax:
Practice Address - Street 1:6241 SIERRA KNOLLS CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-7208
Practice Address - Country:US
Practice Address - Phone:805-441-5593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV882364363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily