Provider Demographics
NPI:1740642107
Name:GALE, ALANNA KARYN (FNP-C)
Entity type:Individual
Prefix:
First Name:ALANNA
Middle Name:KARYN
Last Name:GALE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14671 OLD CONROE RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3243
Mailing Address - Country:US
Mailing Address - Phone:713-907-5003
Mailing Address - Fax:
Practice Address - Street 1:508 MEDICAL CENTER BLVD STE 150
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2845
Practice Address - Country:US
Practice Address - Phone:936-494-2201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX575080363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner