Individual
CAITLYN MOONEYHAM GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3480 WAKE FOREST RD STE 310, RALEIGH, NC 27609-7376
(919) 862-5620
Mailing address
3480 WAKE FOREST RD STE 310, RALEIGH, NC 27609-7376
(919) 862-5620
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
266220
NC
363LF0000X
Family Nurse Practitioner
Primary
5008525
NC
Other
Enumeration date
04/28/2016
Last updated
11/18/2021
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