Provider Demographics
NPI:1174518872
Name:GALLAGHER, JULIE A (RN/NP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:221 BOSTON ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NORT BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2321
Mailing Address - Country:US
Mailing Address - Phone:978-670-1300
Mailing Address - Fax:978-528-2024
Practice Address - Street 1:221 BOSTON ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2321
Practice Address - Country:US
Practice Address - Phone:978-670-1300
Practice Address - Fax:978-528-2024
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2024-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA187104363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPX6622Medicare PIN
MAS40382Medicare UPIN