National Provider Identifier

Gwendolyn Eckles, LPN

Gwendolyn Eckles, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Derby, NY and a listed phone number of (716) 562-7012.

NPI 1972774578Derby, NYLicensed Practical Nurse

Profile Overview

NPI
1972774578
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 21, 2008
Last Updated
October 31, 2014

Practice Location

  • 7008 Erie RD
  • Suite 14
  • Derby, NY 14047-9592

Phone: (716) 562-7012

Mailing Address

  • PO Box 296
  • Derby, NY 14047-0296

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1972774578
Entity Type
Individual
Last Name
Eckles
First Name
Gwendolyn
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
PO Box 296
Mailing City
Derby
Mailing State
NY
Mailing ZIP Code
14047-0296
Mailing Country
US
Mailing Phone
(716) 562-7012
Mailing Fax
(716) 562-7109
Practice Street Address
7008 Erie RD
Practice Address Line 2
Suite 14
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047-9592
Practice Country
US
Practice Phone
(716) 562-7012
Practice Fax
(716) 562-7109
Enumeration Date
March 21, 2008
Last Updated
October 31, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)