Individual provider · Type 1 NPI
Tasha Gallup, PA-C
Medical Physician Assistant · Plymouth, NH
NPI number
1679973390
Active
Practice location
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Fax (603) 536-4001
Other practice locations
- 103 Boulder Point Dr, Plymouth, NH 03264-3168 · (603) 536-1565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 0353 (NH) |
| Medical Physician Assistant Primary | 363AM0700X | 1256 (NH) |
Medical Physician Assistant: Definition to come...
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About NPI 1679973390
Tasha Gallup, PA-C's National Provider Identifier is 1679973390, issued on Aug 29, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plymouth, NH. The record was last updated on Feb 7, 2025.