Individual
RACHEL GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 SCHENK ST, MADISON, WI 53714-2331
(608) 204-1504
(608) 204-0539
Mailing address
6790 MOON LIGHT CIR, SUN PRAIRIE, WI 53590-9112
(608) 217-3440
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
74556
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345410224
—
WI
Enumeration date
09/17/2014
Last updated
09/17/2014
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