Individual
MS. TARA NICHOLE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 617-2000
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017001488
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420040530
—
MO
Enumeration date
01/31/2017
Last updated
10/03/2025
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