Juan Galvan is a Nurse Practitioner in South Bend, Indiana. Juan Galvan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Juan Galvan is 1114917481. The last update date is 2019-12-31.
Juan Galvan's current location address is 707 Cedar St Ste 200, South Bend, Indiana. You can contact this provider via phone number 5743358707. The mailing address for Juan Galvan is 707 Cedar St Ste 200, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Galvan |
|---|---|
| Address | 707 Cedar St Ste 200, South Bend, Indiana |
| Phone Number | 5743358707 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1114917481 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2019-12-31 |
Provider Mailing Address Detail
| Address | 707 Cedar St Ste 200 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172057 |
| Phone Number | 5743358707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71000318A |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300011144 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Juan Galvan by the Centers for Medicare & Medicaid Services?
The Juan Galvan has been issued the NPI (National Provider Identifier) 1114917481, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Juan Galvan?
The Juan Galvan is situated at 707 Cedar St Ste 200, in the city of South Bend, state of IN, with the zip code 466172057.
What is Juan Galvan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Juan Galvan is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date was the 1114917481 assigned to Juan Galvan?
The Juan Galvan was issued its 1114917481 on 2005-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Juan Galvan's information last updated?
The Juan Galvan's information was last updated on 2019-12-31.