| Doctor Name: | MRS. NANCY P GALLAGHER |
| NPI Number: | 1023052289 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 26NN06456500 |
| Business Practice Address: | 22-18 Broadway Suite 102 Fair Lawn, NJ - 074103016 |
| Business Phone Number: | 9732565557 |
| Business Fax Number: | 9732565036 |
| Mailing Address: | 22-18 Broadway, Suite 102 FAIR LAWN |
| State: | NJ |
| Postal Code: | 074103016 |
| Phone Number: | 9732565557 |
| Fax Number: | 9732565036 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 09/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 26NN06456500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |