Provider Demographics
NPI:1437034063
Name:GALLEGOS, JOSEFA (RN)
Entity type:Individual
Prefix:
First Name:JOSEFA
Middle Name:
Last Name:GALLEGOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 KOLLEEN CT
Mailing Address - Street 2:
Mailing Address - City:WHITE ROCK
Mailing Address - State:NM
Mailing Address - Zip Code:87547-3529
Mailing Address - Country:US
Mailing Address - Phone:208-569-0916
Mailing Address - Fax:
Practice Address - Street 1:610 ALTA VISTA ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4149
Practice Address - Country:US
Practice Address - Phone:505-467-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR36839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse