Individual
SHELLY GALLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
120 PARK CENTER DR, BROUSSARD, LA 70518-3605
(337) 277-9581
Mailing address
5031 LA PREMIERE DR, MAURICE, LA 70555-3758
(337) 354-7798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
119042
LA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
119042
LA
Other
Enumeration date
04/19/2022
Last updated
12/13/2022
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