Individual provider · Type 1 NPI

Izegbea M. Cannon

Family Nurse Practitioner · Louisville, KY

NPI number 1013389022 Active

Practice location

2215 Portland Ave
Louisville, KY 40212-1033

Fax (502) 772-8189

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3009546 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1013389022

Izegbea M. Cannon's National Provider Identifier is 1013389022, issued on Oct 29, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Oct 29, 2015.