Individual
MRS. TEISHA ALYNN GALLEGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, AGAC-BC
Contact information
Practice address
507 NE 12TH ST, MOORE, OK 73160-5807
(405) 623-0777
Mailing address
1508 NW 144TH ST, EDMOND, OK 73013-1573
(405) 623-0777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
92903
OK
363L00000X
Nurse Practitioner
Primary
R0092903
OK
Other
Enumeration date
10/18/2018
Last updated
07/06/2022
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