Individual
CAROLYN LEIGH GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, APRN-BC
Contact information
Practice address
1031 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1858
(314) 977-7455
Mailing address
6420 CLAYTON RD, SUITE 290, SAINT LOUIS, MO 63117-1811
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
11132674
MO
367A00000X
Advanced Practice Midwife
Primary
2015026430
MO
367A00000X
Advanced Practice Midwife
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015026430
STATE BOARD OF NURSING
MO
Enumeration date
11/15/2012
Last updated
04/18/2025
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