| Laureen Ann Gallo, CRNP MSN | |
|
400 Eastern Shore Dr Ste 204, Salisbury, MD 21804-5513 | |
| (410) 912-6716 | |
| Not Available |
| Full Name | Laureen Ann Gallo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 400 Eastern Shore Dr Ste 204, Salisbury, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740251305 | NPI | - | NPPES |
| 146021800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AC000295 (Maryland) | Primary |
| 207R00000X | Internal Medicine | 0001194155 (Virginia) | Secondary |
| Entity Name | Tidalhealth Peninsula Regional Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184832040 PECOS PAC ID: 3072509702 Enrollment ID: O20040420001571 |
| Entity Name | Tidalhealth Primary Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104453208 PECOS PAC ID: 7911320635 Enrollment ID: O20200714000016 |
| Entity Name | Tidalhealth Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Laureen Ann Gallo, CRNP MSN 400 Eastern Shore Dr Ste 204, Salisbury, MD 21804-5513 Ph: (410) 912-6716 | Laureen Ann Gallo, CRNP MSN 400 Eastern Shore Dr Ste 204, Salisbury, MD 21804-5513 Ph: (410) 912-6716 |
Iris Harrington Gehring, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 N. Salisbury Blvd, Salisbury, MD 21801 Phone: 410-334-6351 Fax: 443-210-2557 |
Mrs. Leslie Oliver, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Healthway Dr Ste 101, Salisbury, MD 21804 Phone: 443-944-8723 |
Kari Ann Cheezum, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 N Salisbury Blvd, Salisbury, MD 21801 Phone: 877-222-4934 |
Ms. Melissa A Bennett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Glen Ave Ste 104, Salisbury, MD 21804 Phone: 410-543-9111 |
Amari' Henry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1505 S Salisbury Blvd, Salisbury, MD 21801 Phone: 410-936-5500 |
Myrna Kay Lehner, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St, Ste 201, Salisbury, MD 21804 Phone: 410-543-1952 Fax: 410-543-8497 |
Brenda Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7531 Fax: 410-543-4722 |