REBEKKA GALLARDO PA STUDENT NPI 1952034407

NPI Information

  • NPI: 1952034407
  • Provider Name: REBEKKA GALLARDO, PA STUDENT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1050 E BROADWAY
    MONONA, WI
    ZIP 53716
  • Phone: (608) 222-8779

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NPI Details

Rebekka Gallardo, PA STUDENT is a medical physician assistant in Monona, WI with 1 years of experience. Rebekka Gallardo, PA STUDENT NPI is 1952034407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2024

The provider's business location address is:

1050 E BROADWAY
MONONA, WI
ZIP 53716-023
Phone: (608) 222-8779

The NPI 1952034407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2022 and was last updated on 12/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363AM0700XPhysician AssistantMedical7974-23WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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