Individual provider · Type 1 NPI
Amanda Gynan, NP
Adult Health Nurse Practitioner · Buffalo, NY
NPI number
1124781380
Active
Practice location
Elm And Carlton St
Buffalo, NY 14263-7529
Mailing address
199 Park Club Ln Ste 500
Williamsville, NY 14221-5269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 683915 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F311231 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124781380
Amanda Gynan, NP's National Provider Identifier is 1124781380, issued on Oct 14, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Buffalo, NY. The record was last updated on Apr 27, 2026.