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NPI Code Detail

MEDICARE: DALLAS ROSE GALLAGHER DNP, FNP-C

MEDICARE: DALLAS ROSE GALLAGHER DNP, FNP-C
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
1207RH0003XHematology & Oncology Physician95017937CA
2363L00000XNurse Practitioner95017937CA

General Provider Information

NPI Number : 1871262345
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALLAS ROSE GALLAGHER DNP, FNP-C
Provider Business Mailing Address
First Line : PO BOX 232410
Second Line :
City : SAN DIEGO
State : CA
Zip : 92193-2410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ARBOR DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 800-926-8273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2021
Last Update Date : 04/20/2026

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