NPI 1558033969 · live from the CMS NPI Registry
Joseph Emmanuel Gallardo, NP, FNP-C
Nurse Practitioner in Glendale, AZ. National Provider Identifier 1558033969, active.
NPI record
| NPI | 1558033969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 5620 W Thunderbird Rd Ste C2, Glendale, AZ 85306 |
| Practice phone | 623-329-8735 |
| Enumerated | October 4, 2021 |
| Last updated | September 23, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 276425 (AZ) |
| Registered Nurse, General Practice | 163WG0000X | RN196045 (AZ) |
| Nurse Practitioner primary | 363L00000X | 276425 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.