Basic Information
Provider Information
NPI: 1861816126
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALVIN
FirstName: BRITTANY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP, BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 NEW JERSEY AVE SE STE 500
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200033326
CountryCode: US
TelephoneNumber: 2022791817
FaxNumber: 2026172985
Practice Location
Address1: 1500 GALEN ST SE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200204913
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber: 2026172985
Other Information
ProviderEnumerationDate: 02/06/2014
LastUpdateDate: 10/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN2284298MAN Nursing Service ProvidersRegistered Nurse 
363LF0000X5929 - 33WIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home