Shelly Galland, RN, BSN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Broussard, LA
NPI 1891438552 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1891438552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 119042 (LA)
- Practice address
- 120 Park Center Dr
Broussard, LA 70518-3605 - Phone
- (337) 277-9581
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119042 | LA | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 119042 | LA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 119042 | LA | Yes |
Addresses
Primary practice location
120 Park Center Dr
Broussard, LA 70518-3605
Mailing address
5031 La Premiere Dr
Maurice, LA 70555-3758
Phone (337) 354-7798
Other providers in Broussard, LA
- Beneth Marie Frame
- Candace Frazier
- James Friloux Jr.
- Fulco and Hall Performance and Therapy LLC
- Functional Living Solutions, LLC
- Brigitte Luquette Girouard
- Chelsea Caillier Girouard
- Amainte B Godeaux
- Guidry Rehabilitation LLC
- Lynn M. Guidry
All providers in Broussard, LA · Psychiatric/Mental Health Registered Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.