National Provider Identifier

Ellen Theresa McGuire, LICENSED PRACTICAL N

Ellen Theresa McGuire, LICENSED PRACTICAL N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lake View, NY and a listed phone number of (716) 627-5970.

NPI 1861952681Lake View, NYLicensed Practical Nurse

Profile Overview

NPI
1861952681
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 20, 2019
Last Updated
March 20, 2019

Practice Location

  • 6855 Southwestern Blvd
  • Lake View, NY 14085-9642

Phone: (716) 627-5970

Mailing Address

  • 1530 Sundance Trl
  • Lake View, NY 14085-9529

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1861952681
Entity Type
Individual
Last Name
McGuire
First Name
Ellen
Middle Name
Theresa
Credential
LICENSED PRACTICAL N
Mailing Street Address
1530 Sundance Trl
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9529
Mailing Country
US
Mailing Phone
(716) 627-3964
Practice Street Address
6855 Southwestern Blvd
Practice City
Lake View
Practice State
NY
Practice ZIP Code
14085-9642
Practice Country
US
Practice Phone
(716) 627-5970
Enumeration Date
March 20, 2019
Last Updated
March 20, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)