Provider Demographics
NPI:1588082986
Name:GALESKI, JANINE
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:GALESKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9485 MENTOR AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-8723
Mailing Address - Country:US
Mailing Address - Phone:330-688-9918
Mailing Address - Fax:330-688-4718
Practice Address - Street 1:4465 DARROW RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1884
Practice Address - Country:US
Practice Address - Phone:330-688-9918
Practice Address - Fax:330-688-4718
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA15746-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily