IndividualActive
Ashley Gallup
NPI 1407205347 · Certified Registered Nurse Anesthetist · Moore, OK
Provider details
- NPI number
- 1407205347
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R0101320 (OK)
Mailing address
2817 Se 91st St
Moore, OK 73160-9123
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2019-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.