Provider Demographics
NPI:1437740164
Name:JOANNE GALASSO, VISITING PC/PMHNP-NP, LLC
Entity type:Organization
Organization Name:JOANNE GALASSO, VISITING PC/PMHNP-NP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALASSO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:267-209-6732
Mailing Address - Street 1:2418 E YORK ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-3006
Mailing Address - Country:US
Mailing Address - Phone:262-209-6732
Mailing Address - Fax:267-441-8386
Practice Address - Street 1:2418 E YORK ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3006
Practice Address - Country:US
Practice Address - Phone:262-209-6732
Practice Address - Fax:267-441-8386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2025-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty