Individual
NISSA ROSE GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 689-6824
Mailing address
1345 PHILOMENA ST STE 410.3, AUSTIN, TX 78723-3210
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1046956
TX
Other
Enumeration date
07/09/2021
Last updated
02/08/2023
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