Mary Laurette Gallo, R.N.

Individual provider Active NPI General Practice Registered Nurse · Eastsound, WA

NPI 1497095632 · NPPES record last updated Feb 25, 2013

Key facts

NPI
1497095632
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
RN150147 (WA)
Practice address
13 Opal Commons
Island Hospital
Eastsound, WA 98245-9620
Phone
(360) 302-0978
Fax
(360) 376-5183
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN150147WAMDDoula

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN150147 WA Yes
Perinatal Registered Nurse 163WP1700X RN150147 WA
Doula 374J00000X RN150147 WA

Addresses

Primary practice location

13 Opal Commons
Island Hospital
Eastsound, WA 98245-9620

Mailing address

13 Opal Commons
Eastsound, WA 98245-9620
Phone (360) 302-0978

Other names

  • Laurie Gallo Other name

Other providers in Eastsound, WA

All providers in Eastsound, WA · General Practice Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.