| Doctor Name: | MS. GALINA OMELIOUSSIK |
| NPI Number: | 1609121102 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 990407 |
| Business Practice Address: | 9898 Rosemont Ave Lonetree, CO - 801244106 |
| Business Phone Number: | 3037984404 |
| Business Fax Number: | |
| Mailing Address: | 22886 E Calhoun Pl, AURORA |
| State: | CO |
| Postal Code: | 800165209 |
| Phone Number: | 7203246708 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2012 |
| NPI Last Update Date: | 07/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 990407 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |