National Provider Identifier

Wanda Gebauer

Wanda Gebauer is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 484-9113.

NPI 1689834582Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1689834582
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 13, 2008
Last Updated
June 13, 2008

Practice Location

  • 111 W 2Nd St
  • Jamestown, NY 14701-5207

Phone: (716) 484-9113

Mailing Address

  • 3287 Bunker Hill RD
  • Randolph, NY 14772-9786

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689834582
Entity Type
Individual
Last Name
Gebauer
First Name
Wanda
Mailing Street Address
3287 Bunker Hill RD
Mailing City
Randolph
Mailing State
NY
Mailing ZIP Code
14772-9786
Mailing Country
US
Practice Street Address
111 W 2Nd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5207
Practice Country
US
Practice Phone
(716) 484-9113
Enumeration Date
June 13, 2008
Last Updated
June 13, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)