SANDRA E. GALLO


Address: 20045 N. 19th Ave, Bldg 10, Suite 3, Phoenix, AZ 85027
Phone: 4806262552

SANDRA E. GALLO (NPI# 1184753717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184753717
Entity Type Individual
Full Name SANDRA E. GALLO
Credential CFNP
Practice Address 20045 N. 19th Ave
Bldg 10, Suite 3
Phoenix
AZ 85027
Mailing Address Po Box 29025
Phoenix
AZ 85038-9025
Practice Telephone 4806262552
Practice Fax Number 4806262551
Mailing Telephone 4806262552
Mailing Fax Number 4806262551
Enumeration Date 2007-03-02
Last Update Date 2018-09-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP2079 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP2070 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 130322 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
901 E Jefferson St, Phoenix, AZ 850342219 6028333199 6028333190

Other Providers SANDRA GALLO

NPI Name Taxonomy Address Enumeration
1659888311 Sandra Gallo Behavior Technician 7109 Danny Dr, Stockton, CA 95210-5320 2018-01-03

Office Location

Street Address 20045 N. 19TH AVE
BLDG 10, SUITE 3
City PHOENIX
State AZ
Zip Code 85027

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
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1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
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1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
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Competitor

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City PHOENIX
Zip Code 85027

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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