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

TaxonomyCodeLicense
Athletic Trainer 2255A2300X0353 (NH)
Medical Physician Assistant Primary 363AM0700X1256 (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.