Provider Demographics
NPI:1881034213
Name:GALLAGHER, BERNARDA (CSA)
Entity Type:Individual
Prefix:MRS
First Name:BERNARDA
Middle Name:
Last Name:GALLAGHER
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Gender:F
Credentials:CSA
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Other - First Name:
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Mailing Address - Street 1:8116 ARLINGTON BLVD
Mailing Address - Street 2:STE #117
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1002
Mailing Address - Country:US
Mailing Address - Phone:703-659-4557
Mailing Address - Fax:202-581-1281
Practice Address - Street 1:8116 ARLINGTON BLVD
Practice Address - Street 2:STE #117
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1002
Practice Address - Country:US
Practice Address - Phone:703-659-4557
Practice Address - Fax:202-581-1281
Is Sole Proprietor?:No
Enumeration Date:2013-06-29
Last Update Date:2014-04-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical