Provider Demographics
NPI:1457838070
Name:NGO, AMY LEE GAFFNEY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LEE GAFFNEY
Last Name:NGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360541
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-6541
Mailing Address - Country:US
Mailing Address - Phone:972-525-9900
Mailing Address - Fax:469-333-7988
Practice Address - Street 1:1651 W UNIVERSITY DR # 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3445
Practice Address - Country:US
Practice Address - Phone:713-461-2915
Practice Address - Fax:469-333-7988
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138177363LG0600X, 207QG0300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine