Provider Demographics
NPI:1386303105
Name:GALVAN, MARGARET NEWCOMB (CRNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:NEWCOMB
Last Name:GALVAN
Suffix:
Gender:F
Credentials:CRNP, FNP-BC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:NEWCOMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:164 SHELBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3417
Mailing Address - Country:US
Mailing Address - Phone:919-593-1273
Mailing Address - Fax:
Practice Address - Street 1:5001 TOWNSHIP LINE RD # 1296
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4821
Practice Address - Country:US
Practice Address - Phone:610-853-2962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily