Individual provider · Type 1 NPI

Nicole R. Gannon, ANP

Adult Health Nurse Practitioner · Orchard Park, NY

NPI number 1689947426 Active

Practice location

3685 Southwestern Blvd
Orchard Park, NY 14127-1732

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X305960 (NY)
Adult Health Nurse Practitioner 363LA2200X305960 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XF305960 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1689947426

Nicole R. Gannon, ANP's National Provider Identifier is 1689947426, issued on Feb 9, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orchard Park, NY. The record was last updated on Oct 10, 2024.