Individual
MRS. BONNIE LYNN GALLOWAY
Active
Individual
MRS. BONNIE LYNN GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW010239
PA
367A00000X
Advanced Practice Midwife
72000123A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000577790
BCBS
IN
05
—
200857240
—
IN
05
—
4088840-10
—
MI
Enumeration date
11/09/2005
Last updated
07/09/2014
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