Gannon, Carol A
Gannon, Carol A is an individual health care provider with primary practice located at 6801 W 20Th St Unit 101 , Greeley CO 80634-9640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gannon, Carol A can be contacted via phone (970) 378-8000.Contact Information
Primary practice address
6801 W 20Th St Unit 101
Greeley CO 80634-9640
Phone: (970) 378-8000
Fax: (970) 378-8088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN.0116733 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RXN.0099175-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.0002761-NP | Colorado |
Profile Details
| NPI number | 1538330113 |
|---|---|
| LBN Legal business name | Gannon, Carol A |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538330113 | NPPES |
| Colorado | MEDICAID | 73426547 |
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