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NPI Code Detail

MEDICARE: MRS. KRISTINA GALLANT NP

MEDICARE: MRS. KRISTINA GALLANT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN281732MA
2363LF0000XFamily Nurse PractitionerRN281732MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235657289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINA GALLANT NP
Provider Business Mailing Address
First Line : 114 MERRIAM AVE STE 101
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3175
Country : US
Telephone Number : 978-534-3399
Fax Number :
Provider Business Practice Location Address
First Line : 114 MERRIAM AVE
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3175
Country : US
Telephone Number : 978-534-3399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2017
Last Update Date : 03/04/2026

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