Larissa Michele Oberholtzer-gallagher, RN is a
Registered Nurse - Critical Care Medicine based in Clayton, California. Larissa Michele Oberholtzer-gallagher is licensed to practice in California (license number 562922) and her current practice location is
2 Regency Dr, Clayton, California. She can be reached at her office (for appointments etc.) via phone at
(925) 693-0545.
NPI number for Larissa Michele Oberholtzer-gallagher is 1023607017 and her current mailing address is 2 Regency Dr, Clayton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023607017.
Provider's Profile
| Full Name | Larissa Michele Oberholtzer-gallagher |
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| Gender | Female |
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| Speciality | Registered Nurse - Critical Care Medicine |
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| Location | 2 Regency Dr, Clayton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023607017
- Provider Enumeration Date: 01/13/2021
- Last Update Date: 01/13/2021
Medical Identifiers
Medical identifiers for Larissa Michele Oberholtzer-gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023607017 | NPI | - | NPPES |
| 888 | Other | | NOT APPLICABLE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 562922 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Michele Oberholtzer-gallagher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larissa Michele Oberholtzer-gallagher, RN
2 Regency Dr,
Clayton, CA 94517-1715
Ph: (925) 693-0545 | Larissa Michele Oberholtzer-gallagher, RN
2 Regency Dr,
Clayton, CA 94517-1715
Ph: (925) 693-0545 |
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