person
Ms. Heidi Ann Gallo, ARNP
Adult Health Nurse Practitioner in Louisville, Kentucky
NPI 1104807189

Heidi Ann Gallo is an Adult Health Nurse Practitioner based in Louisville, KY and is specialized in Adult Health. Heidi Ann Gallo practices in Louisville, KY and has the professional credentials of ARNP. The NPI Number for Heidi Ann Gallo is 1104807189 and holds a License No. 3421P (Kentucky).

The current practice location address for Heidi Ann Gallo is 908 Dupont Rd Ste 100, Louisville, KY and can be reached out via phone at 502-883-3147 and via fax at 502-891-0028. You can also correspond with Heidi Ann Gallo through the mailing address at 908 DUPONT RD STE 100, LOUISVILLE, KY - 40207-4602 (mailing address contact number: 502-883-3147).

Location: 908 Dupont Rd Ste 100, Louisville, KY, 40207-4602
person
Provider Profile Details
NPI Number
1104807189
Provider Name
Heidi Ann Gallo
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
908 Dupont Rd Ste 100, Louisville, KY, 40207-4602
Phone Number
502-883-3147
Fax Number
502-891-0028
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K075320 01 KY MEDICARE PTAN
000000187104 01 ANTHEM
1161890 01 PASSPORT
021102300 01 FEDERAL BLACK LUNG
2439614000 01 PASSPORT ADVANTAGE
institution
Provider Business Practice Location Address Details
Address
908 Dupont Rd Ste 100
City
State
Zip
40207-4602
Phone Number
502-883-3147
Fax Number
502-891-0028
person
Provider Business Mailing Address Details
Address
908 Dupont Rd Ste 100
City
State
Zip
40207-4602
Phone Number
502-883-3147
Fax Number
502-891-0028
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
3421P (Kentucky)
Definition
Definition to come...
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