Provider Demographics
NPI:1831761873
Name:GALLARDY, SARAH LYNN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LYNN
Last Name:GALLARDY
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-1113
Mailing Address - Country:US
Mailing Address - Phone:814-239-1516
Mailing Address - Fax:149-415-5208
Practice Address - Street 1:5800 6TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-1113
Practice Address - Country:US
Practice Address - Phone:814-215-1516
Practice Address - Fax:814-941-5520
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2025-03-06
Deactivation Date:2025-02-14
Deactivation Code:
Reactivation Date:2025-03-05
Provider Licenses
StateLicense IDTaxonomies
PASP023941207Q00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine