Individual
THERESA MARIE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
(610) 954-5810
(610) 954-5480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN549955
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
92681
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50116758
CAPITAL ADVANTAGE
PA
Enumeration date
05/24/2013
Last updated
07/19/2021
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