Individual
LAUREEN ANN GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP MSN
Contact information
Practice address
400 EASTERN SHORE DR STE 204, SALISBURY, MD 21804-5513
(410) 912-6716
Mailing address
400 EASTERN SHORE DR STE 204, SALISBURY, MD 21804-5513
(410) 912-6716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0001194155
VA
363L00000X
Nurse Practitioner
Primary
AC000295
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146021800
—
MD
Enumeration date
01/31/2006
Last updated
04/08/2022
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