Individual provider · Type 1 NPI
Fallon Gallagher, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1750994612
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN770477 (PA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP027747 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1750994612
Fallon Gallagher, CRNP's National Provider Identifier is 1750994612, issued on Aug 28, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 17, 2024.