Provider Demographics
NPI:1700223740
Name:GALLOWAY, MICHELLE FRANCES (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:FRANCES
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:F
Other - Last Name:WELAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-888-4553
Mailing Address - Fax:614-847-0009
Practice Address - Street 1:6830 N HIGH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2510
Practice Address - Country:US
Practice Address - Phone:614-888-4553
Practice Address - Fax:614-847-0009
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 379546163W00000X
OH2013006713363LA2200X
OHAPRN.CNP.14780363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health