Individual provider · Type 1 NPI
Tara Nichole Galloway, FNP
Family Nurse Practitioner · St. Louis, MO
NPI number
1629516455
Active
Practice location
1201 S Grand Blvd
St. Louis, MO 63104-1016
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Other practice locations
- 400 S Kingshighway Blvd, Dept Emergency Med, St. Louis, MO 63110-1014 · (314) 362-9123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2017001488 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629516455
Tara Nichole Galloway, FNP's National Provider Identifier is 1629516455, issued on Jan 31, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 3, 2025.