National Provider Identifier

Donna Marie Gannon, FNP-BC

Donna Marie Gannon, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 828-2588.

NPI 1235446147Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1235446147
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 13, 2010
Last Updated
January 20, 2012

Practice Location

  • 565 Abbott RD
  • Buffalo, NY 14220-2039

Phone: (716) 828-2588

Mailing Address

  • 3017 Schoolview RD
  • Eden, NY 14057-1108

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1235446147
Entity Type
Individual
Last Name
Gannon
First Name
Donna
Middle Name
Marie
Name Prefix
Mrs.
Credential
FNP-BC
Mailing Street Address
3017 Schoolview RD
Mailing City
Eden
Mailing State
NY
Mailing ZIP Code
14057-1108
Mailing Country
US
Mailing Phone
(716) 863-1373
Practice Street Address
565 Abbott RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-2039
Practice Country
US
Practice Phone
(716) 828-2588
Practice Fax
(716) 828-2375
Enumeration Date
September 13, 2010
Last Updated
January 20, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)