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NPI Code Detail

MEDICARE: ANNA GALLAGHER RN

MEDICARE: ANNA GALLAGHER RN
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 Nurse1101032WI

General Provider Information

NPI Number : 1689522484
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA GALLAGHER RN
Provider Business Mailing Address
First Line : 5221 ELKRIDGE DR
Second Line :
City : DALLAS
State : TX
Zip : 75227-1454
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3350 LA JOLLA VILLAGE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92161-0002
Country : US
Telephone Number : 858-552-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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