Provider Demographics
NPI:1871953414
Name:GALUE, MARLIX (FNP)
Entity type:Individual
Prefix:
First Name:MARLIX
Middle Name:
Last Name:GALUE
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 1:6296 NW 186TH ST APT 110
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6035
Mailing Address - Country:US
Mailing Address - Phone:305-333-2886
Mailing Address - Fax:
Practice Address - Street 1:4005 NW 114TH AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4372
Practice Address - Country:US
Practice Address - Phone:305-591-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9383134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily