Cannon, Spencer

Cannon, Spencer is an individual health care provider with primary practice located at 161 S Dooley Ct , Salt Lake City UT 84102-4104. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Cannon, Spencer can be contacted via phone (801) 696-8513.

Contact Information

Primary practice address
161 S Dooley Ct Salt Lake City UT 84102-4104
Phone: (801) 696-8513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 8038048-3102 Utah
Nursing Service Providers / Pediatrics 163WP0200X 8038048-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 8038048-4405 Utah

Profile Details

NPI number 1346525201
LBN Legal business name Cannon, Spencer
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Mar 4th, 2024 - about last year

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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