National Provider Identifier

Siobhan Gibson

Siobhan Gibson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 308-1369.

NPI 1558032599Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1558032599
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 21, 2021
Last Updated
September 21, 2021

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 308-1369

Mailing Address

  • 46 Cambridge Ave
  • Buffalo, NY 14215-4002

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558032599
Entity Type
Individual
Last Name
Gibson
First Name
Siobhan
Mailing Street Address
46 Cambridge Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-4002
Mailing Country
US
Mailing Phone
(716) 308-1369
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 308-1369
Enumeration Date
September 21, 2021
Last Updated
September 21, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
September 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)