Gallivan, Shelley

Gallivan, Shelley is an individual health care provider with primary practice located at 1503 Grant Rd Ste 110 , Mountain View CA 94040-3270. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gallivan, Shelley can be contacted via phone (650) 484-1213.

Contact Information

Primary practice address
1503 Grant Rd Ste 110 Mountain View CA 94040-3270
Phone: (650) 484-1213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 17816 California
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 041328453 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 17816 California

Profile Details

NPI number 1083807606
LBN Legal business name Gallivan, Shelley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Sep 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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