National Provider Identifier

Amy Dawn Guagliardo, PTA, LPN

Amy Dawn Guagliardo, PTA, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (716) 392-8504.

NPI 1750653028Ontario, NYLicensed Practical Nurse

Profile Overview

NPI
1750653028
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 02, 2012
Last Updated
March 29, 2016

Practice Location

  • 1527 Kenyon RD
  • Ontario, NY 14519-8880

Phone: (716) 392-8504

Mailing Address

  • 469 W Union St
  • N/A
  • Newark, NY 14513-1316

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Contractor (171W00000X)
Full Record
NPI
1750653028
Entity Type
Individual
Last Name
Guagliardo
First Name
Amy
Middle Name
Dawn
Name Prefix
MS.
Credential
PTA, LPN
Mailing Street Address
469 W Union St
Mailing Address Line 2
N/A
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1316
Mailing Country
US
Mailing Phone
(585) 683-7775
Practice Street Address
1527 Kenyon RD
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-8880
Practice Country
US
Practice Phone
(716) 392-8504
Enumeration Date
February 02, 2012
Last Updated
March 29, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Contractor (171W00000X)