Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 63897 | TN |
N | 2086S0120X | Pediatric Surgery | 63897 | TN |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 63897 | TN |
N | 2086S0129X | Vascular Surgeon | 63897 | TN |
NPI | 1427491885 |
---|---|
Provider Name | Miss Izabela Anna Galdyn |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-2804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 08/11/2021 |