Cannon, Carol A

Cannon, Carol A is an individual health care provider with primary practice located at 333 Cottman Ave , Philadelphia PA 19111. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cannon, Carol A can be contacted via phone (215) 728-2500.

Contact Information

Primary practice address
333 Cottman Ave Philadelphia PA 19111
Phone: (215) 728-2500
Fax: (215) 707-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 280058 Massachusetts
Nursing Service Providers / Oncology 163WX0200X SP019511 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 280058 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP019511 Pennsylvania

Profile Details

NPI number 1366996944
LBN Legal business name Cannon, Carol A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Feb 11th, 2019 - about 6 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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