Provider Demographics
NPI:1063983682
Name:GALON, CHRISTINA (NP, APRN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:GALON
Suffix:
Gender:F
Credentials:NP, APRN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:ALEXANDER, CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1691 W HORIZON RIDGE PKWY 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3520
Mailing Address - Country:US
Mailing Address - Phone:702-450-8485
Mailing Address - Fax:702-804-1222
Practice Address - Street 1:7751 W FLAMINGO RD
Practice Address - Street 2:A100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-4399
Practice Address - Country:US
Practice Address - Phone:702-804-6555
Practice Address - Fax:702-804-1273
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV816239363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1063983682Medicaid