Individual
GEORGEANNA M GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2010 W CHESTER PIKE, STE 212, HAVERTOWN, PA 19083-2700
(215) 442-5085
(877) 329-2370
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(215) 442-5085
(877) 329-2370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN177257L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001956046
—
PA
01
—
033935
AANA ID
PA
01
—
P00670052
RAILROAD MEDICARE
PA
Enumeration date
09/13/2005
Last updated
01/12/2012
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