Provider Demographics
NPI:1306063763
Name:GALLOWAY, MICHELLE D (FNP-C)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:D
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:FNP-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 FOULK ROAD
Mailing Address - Street 2:BRANDYWINE HIGH SCHOOL
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-2728
Mailing Address - Country:US
Mailing Address - Phone:302-545-3754
Mailing Address - Fax:302-324-5745
Practice Address - Street 1:1400 FOULK ROAD
Practice Address - Street 2:BRANDYWINE HIGH SCHOOL
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-2728
Practice Address - Country:US
Practice Address - Phone:302-477-6750
Practice Address - Fax:302-324-5745
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DELG-0000124363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily