Provider Demographics
NPI:1124611991
Name:GALJOUR, KRISTY (RN)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:GALJOUR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 W 112TH ST
Mailing Address - Street 2:
Mailing Address - City:CUT OFF
Mailing Address - State:LA
Mailing Address - Zip Code:70345-3629
Mailing Address - Country:US
Mailing Address - Phone:985-632-5567
Mailing Address - Fax:985-632-5573
Practice Address - Street 1:133 W 112TH ST
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-3629
Practice Address - Country:US
Practice Address - Phone:985-632-5567
Practice Address - Fax:985-632-5573
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN123924163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health