Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole R Gannon, ANP

Individual provider Nurse Practitioner · NPI 1689947426

Nicole R Gannon, ANP is a Nurse Practitioner in Orchard Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
3

Practice location Address checks out

3685 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone: (716) 712-7555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F305960 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 305960 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 305960 (NY)

Record details

NPI number1689947426
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedFebruary 9, 2012
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Other providers in Orchard Park