Provider Demographics
NPI:1568353936
Name:GALECHYAN, GAYANE (FNP)
Entity type:Individual
Prefix:
First Name:GAYANE
Middle Name:
Last Name:GALECHYAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E DRYDEN ST APT 12
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1952
Mailing Address - Country:US
Mailing Address - Phone:818-319-3573
Mailing Address - Fax:
Practice Address - Street 1:330 E DRYDEN ST APT 12
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-1952
Practice Address - Country:US
Practice Address - Phone:818-319-3573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF05250036363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner