Colleen Gannon RN

NPI 1528295938 - Registered Nurse - 163W00000X

NPI Details
NPI 1528295938
Gender Female
Enumeration Date 06/12/2009
Last Updated 06/12/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1131 BROADWAY ST
BUFFALO NY, 14212-1501, US
Phone (716) 896-7422
Fax
Business Location
1526 WALDEN AVE STE 400
CHEEKTOWAGA NY, 14225-4985, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 00492231
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According to our database, Colleen Gannon RN NPI is 1528295938, taxonomy code is 163W00000X and license number is 00492231, license state is located at New York. Colleen Gannon RN physically located at 1131 Broadway St, Buffalo NY, 14212-1501. NPI Number Colleen Gannon RN has the Individual type.

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1528295938 NPI number is provided on an as is basis without warranty of any kind. 1528295938 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Gannon RN are for informational purposes only.