Individual
CAROL W GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2160
(860) 679-1422
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8082
(860) 679-2160
(860) 679-1422
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
002146
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
002146
CT
363LF0000X
Family Nurse Practitioner
002146
CT
Other
Enumeration date
08/23/2006
Last updated
05/07/2019
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