Individual
MRS. LIANNA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2658 NORWAY RD, HOLLEY, NY 14470-9331
(585) 233-5787
(585) 659-8209
Mailing address
2658 NORWAY RD, HOLLEY, NY 14470-9331
(585) 233-5787
(585) 659-8209
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
576026-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576026-1
NYS RN LICENCE
NY
Enumeration date
11/29/2007
Last updated
11/29/2007
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