Provider Demographics
NPI:1760077739
Name:GALLAGHER, ERIKA (FNP-C, MSN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:FNP-C, MSN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:GLASER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 NEW CROSSING RD STE 301
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3271
Mailing Address - Country:US
Mailing Address - Phone:781-942-0380
Mailing Address - Fax:781-942-0371
Practice Address - Street 1:30 NEW CROSSING RD STE 301
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3271
Practice Address - Country:US
Practice Address - Phone:781-942-0380
Practice Address - Fax:781-942-0371
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2318549363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily