MEDICARE: MARY GALLAGHER 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
1	363L00000X	Nurse Practitioner	COA.17955NP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	COA.17955NP	OTHER	OH	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1730550989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY GALLAGHER NP

Provider Business Mailing Address
First Line	:	26908 DETROIT RD STE 103
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-2399
Country	:	US
Telephone Number	:	440-249-0274
Fax Number	:

Provider Business Practice Location Address
First Line	:	26908 DETROIT RD STE 103
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-2399
Country	:	US
Telephone Number	:	440-249-0274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	10/14/2015

Similar Medicare Providers

1245186881 — MIRANDA MLINCEK OTD
Practice Location Address:

26908 DETROIT RD STE 300
WESTLAKE, OH
44145-2399

Practice Phone: 440-414-6050
Practice Fax:

1417976960 — DARLA J HADDEN PA-C
Practice Location Address:

26908 DETROIT RD STE 103
WESTLAKE, OH
44145-2399

Practice Phone: 440-249-0274
Practice Fax: 440-808-1718

1043831613 — DR. MICHELE HIPPLER DPT
Practice Location Address:

26908 DETROIT RD STE 300
WESTLAKE, OH
44145-2399

Practice Phone: 440-414-6050
Practice Fax:

1740480300 — RIMA BACHUWA MD
Practice Location Address:

2211 CROCKER RD STE 130
WESTLAKE, OH
44145-7603

Practice Phone: 440-871-2222
Practice Fax: 440-249-4111

1598610727 — MIKLIMITLESS, INC., DBA AMADA SENIOR CARE CLEVELAND
Practice Location Address:

29055 CLEMENS RD STE B
WESTLAKE, OH
44145-1135

Practice Phone: 440-578-7400
Practice Fax:

1639024763 — LAKIAYA ROSS
Practice Location Address:

24865 DETROIT RD
WESTLAKE, OH
44145-2512

Practice Phone: 440-250-8800
Practice Fax: 440-641-1170

Directions to “ MARY GALLAGHER NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.