Provider Demographics
NPI:1336038454
Name:GALLIHER, SARA (RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GALLIHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 BEACON BAY DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-5543
Mailing Address - Country:US
Mailing Address - Phone:618-334-5005
Mailing Address - Fax:
Practice Address - Street 1:370 BEACON BAY DR BAY DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-5543
Practice Address - Country:US
Practice Address - Phone:618-334-5005
Practice Address - Fax:618-334-5005
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024049007163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory