Provider Demographics
NPI:1356810535
Name:NEAL, GALENE VICTORIA (APRN)
Entity type:Individual
Prefix:
First Name:GALENE
Middle Name:VICTORIA
Last Name:NEAL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:GALENE
Other - Middle Name:V
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:GALENA NEAL, FNP-BC
Mailing Address - Street 1:2901 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-2103
Mailing Address - Country:US
Mailing Address - Phone:727-212-6989
Mailing Address - Fax:727-205-9954
Practice Address - Street 1:2901 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-2103
Practice Address - Country:US
Practice Address - Phone:727-212-6989
Practice Address - Fax:727-205-9954
Is Sole Proprietor?:No
Enumeration Date:2018-11-17
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily