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:
Health care specialties
Specialty | Code | License # | 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 4 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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