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NPI Code Detail

MEDICARE: DENISE A CANNON NP-C

MEDICARE: DENISE A CANNON NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP2184AZ
2363LF0000XFamily Nurse PractitionerAP2184AZ

General Provider Information

NPI Number : 1578549408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE A CANNON NP-C
Provider Business Mailing Address
First Line : 10101 N 92ND ST STE 101
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4553
Country : US
Telephone Number : 480-860-1919
Fax Number : 480-860-5620
Provider Business Practice Location Address
First Line : 10101 N 92ND ST STE 101
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4553
Country : US
Telephone Number : 480-860-1919
Fax Number : 480-860-1580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 11/11/2009

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Directions to “ DENISE A CANNON NP-C” Practice Location

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