National Provider Identifier

Michelle Gough, LPN

Michelle Gough, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 882-2127.

NPI 1215323548Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1215323548
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 14, 2015
Last Updated
April 14, 2015

Practice Location

  • 1300 Niagara St
  • Buffalo, NY 14213-1503

Phone: (716) 882-2127

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1215323548
Entity Type
Individual
Last Name
Gough
First Name
Michelle
Credential
LPN
Mailing Street Address
1300 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1503
Mailing Country
US
Mailing Phone
(716) 882-2127
Mailing Fax
(716) 882-9277
Practice Street Address
1300 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1503
Practice Country
US
Practice Phone
(716) 882-2127
Practice Fax
(716) 882-9277
Enumeration Date
April 14, 2015
Last Updated
April 14, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)