Individual
MELISSA MARLENE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
520 S 9TH ST STE A, RICHMOND, IN 47374-6230
(765) 935-5390
(765) 966-0858
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002337A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681678
ANTHEM
—
05
—
0067506
—
OH
05
—
201003400
—
IN
Enumeration date
02/20/2007
Last updated
06/25/2024
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