Individual
MS. JOAN ANN GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
38TH AND UNIVERSITY AVE., PHILADELPHIA, PA 19104
(215) 823-5800
(215) 823-4411
Mailing address
4302 RIDERS LN, BOOTHWYN, PA 19061-2633
(215) 823-5800
(215) 823-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP-006631 B
PA
363LF0000X
Family Nurse Practitioner
VP-006631 B
PA
364SA2200X
Adult Health Clinical Nurse Specialist
VP-006631 B
PA
Other
Enumeration date
08/19/2006
Last updated
09/11/2025
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