Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1235826363 |
| LBN Legal business name | GWAY HEALTH |
| Authorized official | JENNIFER GALLOWAY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/19/2023 |
| Last updated | 04/19/2023 - About 3 years ago |
| Identifiers | n/a |
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GWAY HEALTH
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