National Provider Identifier

Gwen Radt

Gwen Radt is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 536-6368.

NPI 1770732117Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1770732117
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 10, 2008
Last Updated
January 23, 2013

Practice Location

  • 11 Hickory Grove Ln
  • Cheektowaga, NY 14227-3325

Phone: (716) 536-6368

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1770732117
Entity Type
Individual
Last Name
Radt
First Name
Gwen
Mailing Street Address
11 Hickory Grove Ln
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14227-3325
Mailing Country
US
Practice Street Address
11 Hickory Grove Ln
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14227-3325
Practice Country
US
Practice Phone
(716) 536-6368
Enumeration Date
September 10, 2008
Last Updated
January 23, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)