Individual ProviderAmanda GallagherNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2300 M St NW, Washington, DC 20037-1434(202) 741-3333(207) 776-2114PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Gallagher does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1053810804Provider TypeIndividualFull NameGallagher, AmandaCredentialNP-CGenderFemaleSole ProprietorYesEnumeration Date2/7/2018Last Updated2/7/2018Contact InformationPractice LocationPractice Address2300 M St NW, Washington, DC 20037-1434Phone(202) 741-3333FaxUnlisted FaxMailing LocationMailing Address1225 13th St NW Apt 704, Washington, DC 20005-5174Phone(207) 776-2114FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN1044573District of Columbia