Individual
HEATHER ANN GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 N MEADE ST STE 130, APPLETON, WI 54911-3454
(920) 831-1841
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 410-7310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13823
WI
363LF0000X
Family Nurse Practitioner
13823-33
WI
Other
Enumeration date
04/06/2023
Last updated
08/11/2023
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