Provider Demographics
NPI:1215603949
Name:GALE, ANNA GRACE (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:GRACE
Last Name:GALE
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:GRACE
Other - Last Name:ZOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 QUARRY WAY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6726
Mailing Address - Country:US
Mailing Address - Phone:717-364-5726
Mailing Address - Fax:
Practice Address - Street 1:417 N MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4358
Practice Address - Country:US
Practice Address - Phone:980-432-1090
Practice Address - Fax:704-471-3016
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014931363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner