Gallaway, Larissa Michelle

Gallaway, Larissa Michelle is an individual health care provider with primary practice located at 2301 Erwin Rd , Durham NC 27705-4699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Gallaway, Larissa Michelle can be contacted via phone (919) 681-5551.

Contact Information

Primary practice address
2301 Erwin Rd Durham NC 27705-4699
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 5013701 North Carolina

Profile Details

NPI number 1871195024
LBN Legal business name Gallaway, Larissa Michelle
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2020
Last updated Nov 12th, 2020 - about 4 years 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.

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