person
Tracy Ruth Gallagher, CPNP
Pediatric Nurse Practitioner in Thibodaux, Louisiana
NPI 1396888970

Tracy Ruth Gallagher is a Pediatric Nurse Practitioner based in Thibodaux, LA and is specialized in Pediatrics. Tracy Ruth Gallagher practices in Thibodaux, LA and has the professional credentials of CPNP. The NPI Number for Tracy Ruth Gallagher is 1396888970 and holds a License No. APO5128 (Louisiana).

The current practice location address for Tracy Ruth Gallagher is 931 N Canal Blvd, Thibodaux, LA and can be reached out via phone at 985-446-6381. You can also correspond with Tracy Ruth Gallagher through the mailing address at 931 N CANAL BLVD, THIBODAUX, LA - 70301-8095 (mailing address contact number: 985-446-6381).

Location: 931 N Canal Blvd, Thibodaux, LA, 70301-8095
person
Provider Profile Details
NPI Number
1396888970
Provider Name
Tracy Ruth Gallagher
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
931 N Canal Blvd, Thibodaux, LA, 70301-8095
Phone Number
985-446-6381
Fax Number
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1004529 05 LA
institution
Provider Business Practice Location Address Details
Address
931 N Canal Blvd
City
State
Zip
70301-8095
Phone Number
985-446-6381
Fax Number
person
Provider Business Mailing Address Details
Address
931 N Canal Blvd
City
State
Zip
70301-8095
Phone Number
985-446-6381
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APO5128 (Louisiana)
Definition
Definition to come...
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