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Individual
TARA LEIGH GALLAWAY
Active
Individual
TARA LEIGH GALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1110293
TX
363LF0000X
Family Nurse Practitioner
5010665
NC
363LF0000X
Family Nurse Practitioner
C-APN.0100334-C-NP
CO
363LF0000X
Family Nurse Practitioner
C-RXN.0100240-C-NP
CO
363LF0000X
Family Nurse Practitioner
TPAN2573
FL
Other
Enumeration date
06/27/2018
Last updated
01/17/2025
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