Individual
MRS. DONNA MARIE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2588
(716) 828-2375
Mailing address
3017 SCHOOLVIEW RD, EDEN, NY 14057-1108
(716) 863-1373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336089
NY
Other
Enumeration date
09/13/2010
Last updated
01/20/2012
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