Individual
CRISTY LYNN GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
230 BOWDOIN ST, DORCHESTER, MA 02122-1817
(617) 754-0100
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN215703
MA
363LF0000X
Family Nurse Practitioner
215703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162263A
—
MA
Enumeration date
02/21/2020
Last updated
08/15/2022
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