National Provider Identifier

Alicia Gardner

Alicia Gardner is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 602-8098.

NPI 1659743524Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1659743524
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 30, 2015
Last Updated
October 30, 2015

Practice Location

  • 497 Dartmouth Ave
  • Buffalo, NY 14215-1227

Phone: (716) 602-8098

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659743524
Entity Type
Individual
Last Name
Gardner
First Name
Alicia
Mailing Street Address
497 Dartmouth Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1227
Mailing Country
US
Mailing Phone
(716) 602-8098
Practice Street Address
497 Dartmouth Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1227
Practice Country
US
Practice Phone
(716) 602-8098
Enumeration Date
October 30, 2015
Last Updated
October 30, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)