Provider Demographics
NPI:1457422016
Name:GALVEZ, STEVEN (CRNP)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:GALVEZ
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744-2316
Mailing Address - Country:US
Mailing Address - Phone:334-624-3024
Mailing Address - Fax:334-624-4453
Practice Address - Street 1:508 GREENE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744-2316
Practice Address - Country:US
Practice Address - Phone:334-624-3024
Practice Address - Fax:334-624-4453
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS75968363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051518707GALOtherBCBS OF AL
AL051518707Medicaid
AL051518707GALMedicare ID - Type Unspecified
ALS75968Medicare UPIN