Provider Demographics
NPI:1316736044
Name:NELSON, GALINA LEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:GALINA
Middle Name:LEIGH
Last Name:NELSON
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1800
Mailing Address - Street 2:
Mailing Address - City:UMATILLA
Mailing Address - State:FL
Mailing Address - Zip Code:32784-1800
Mailing Address - Country:US
Mailing Address - Phone:352-434-4121
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1800
Practice Address - Street 2:
Practice Address - City:UMATILLA
Practice Address - State:FL
Practice Address - Zip Code:32784-1800
Practice Address - Country:US
Practice Address - Phone:352-434-4121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant