Individual
LESLIE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
311-4E JUDGES ROAD, WILMINGTON, NC 28405-3655
(415) 899-9800
(415) 899-9805
Mailing address
P.O. BOX 696, HAMPSTEAD, NC 28443-0696
(910) 791-6767
(910) 791-6890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
600013
NC
363L00000X
Nurse Practitioner
Primary
600013
NC
363LG0600X
Gerontology Nurse Practitioner
11529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000774
—
NC
05
—
NP0115290
—
CA
Enumeration date
07/25/2006
Last updated
03/29/2011
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