# THERESA GALLAGHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407221906
- **Gender:** F
- **Credential:** FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WS0200X | School Registered Nurse | RN188556 | AZ | — |
| 207Q00000X | Family Medicine Physician | 2396115249 | MI | — |
| 363L00000X | Nurse Practitioner | 4704239694 | MI | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 08/23/2023