Individual
YOLANDA M GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5470
(717) 782-5820
Mailing address
307 S FRONT ST, 1ST FLOOR, HARRISBURG, PA 17104-1621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN154477L
PA
367500000X
Certified Registered Nurse Anesthetist
018625
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN154477L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
634185
BLUE SHIELD
—
Enumeration date
12/07/2006
Last updated
07/01/2015
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