Gallaher, Stephanie Ann
Gallaher, Stephanie Ann is an individual health care provider with primary practice located at 315 W Dalton Ave Ste B , Coeur D Alene ID 83815-8600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gallaher, Stephanie Ann can be contacted via phone (208) 209-2066.Contact Information
Primary practice address
315 W Dalton Ave Ste B
Coeur D Alene ID 83815-8600
Phone: (208) 209-2066
Fax: (208) 209-2076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 73290 | Idaho |
Profile Details
| NPI number | 1508849290 |
|---|---|
| LBN Legal business name | Gallaher, Stephanie Ann |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Mar 13th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508849290 | NPPES |
| Idaho | MEDICAID | 1508849290 |
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