Active NPIIndividual provider

Tasha Gallup, PA-C

Physician Assistant, Medical in Plymouth, New Hampshire

NPI Number1679973390
Practice location
101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170
Fax
603-536-4001
Last updated
February 7, 2025

Tasha Gallup is a Physician Assistant, Medical based in Plymouth, NH. Tasha Gallup practices in Plymouth, NH and has the professional credentials of PA-C. The NPI Number for Tasha Gallup is 1679973390 and holds a License No. 0353 (NH). The current practice location address for Tasha Gallup is 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 and can be reached out via phone at 603-536-4000 and via fax at 603-536-4001.

Provider Profile Details

NPI Number
1679973390
Provider Name
Tasha Gallup
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170
Phone Number
603-536-4000
Fax Number
603-536-4001
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2014
Last Update Date
February 7, 2025
Certification Date
February 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Zip
03264-3170
Phone Number
603-536-4000
Fax Number
603-536-4001
Plymouth, NH 03264Get directions →

Provider Business Mailing Address Details

Address
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
City
Plymouth
State
NH
Zip
03264-3170
Phone Number
603-536-4000
Fax Number
603-536-4001

License Information

License Number (1)
0353
License State (1)
NH
License Number (2)
1256
License State (2)
NH
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tasha Gallup, PA-C?

The NPI number of Tasha Gallup, PA-C is 1679973390. It was assigned on August 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Tasha Gallup, PA-C?

Tasha Gallup, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NH under license number 0353.

Where does Tasha Gallup, PA-C practice?

The practice location is 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170. The office can be reached at 603-536-4000 (phone) or 603-536-4001 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679973390 directly on the NPPES registry website.

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