Gannon, Nicole R

Gannon, Nicole R is an sole proprietor health care provider with primary practice located at 3685 Southwestern Blvd , Orchard Park NY 14127-1732. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gannon, Nicole R can be contacted via phone (716) 712-7555.

Contact Information

Primary practice address
3685 Southwestern Blvd Orchard Park NY 14127-1732
Phone: (716) 712-7555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 305960 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 305960 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F305960 New York

Profile Details

NPI number 1689947426
LBN Legal business name Gannon, Nicole R
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Oct 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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