Provider Demographics
NPI:1114462124
Name:GALLOWAY, SARAH-ANNE VICTORIA (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH-ANNE
Middle Name:VICTORIA
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SARAH-ANNE
Other - Middle Name:VICTORIA
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 37000
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-7000
Mailing Address - Country:US
Mailing Address - Phone:406-657-4145
Mailing Address - Fax:406-657-4137
Practice Address - Street 1:2800 10TH AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0703
Practice Address - Country:US
Practice Address - Phone:406-657-4145
Practice Address - Fax:406-657-4137
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT131634363LF0000X
WY29441.1590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily