Organization
GALLAHER FAMILY PRACTICE AND ADDICTION RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY LYN GALLAHER FNP-BC (FNP-BC)
(814) 762-0527
Entity
Organization
Contact information
Practice address
1229 TURNPIKE AVE, CLEARFIELD, PA 16830-3027
(814) 335-5965
(814) 205-4042
Mailing address
1229 TURNPIKE AVE, CLEARFIELD, PA 16830-3027
(814) 335-5965
(814) 205-4042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720748742
NPI
PA
Enumeration date
03/26/2025
Last updated
03/26/2025
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