Cannon, Amanda Graves

Cannon, Amanda Graves is an sole proprietor health care provider with primary practice located at 1900 N State St Ste 103 , Provo UT 84604-1354. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Cannon, Amanda Graves can be contacted via phone (801) 669-5758.

Contact Information

Primary practice address
1900 N State St Ste 103 Provo UT 84604-1354
Phone: (801) 669-5758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9111041-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 911041 Utah

Profile Details

NPI number 1760968804
LBN Legal business name Cannon, Amanda Graves
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2018
Last updated Nov 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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