Individual provider · Type 1 NPI
Carl Gannon, PA
Family Nurse Practitioner · Everett, WA
NPI number
1053668335
Active
Practice location
12800 Bothell Everett Hwy
Everett, WA 98208-6642
Mailing address
PO Box 3360
Portland, OR 97208-3360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 22398 (CA) |
| Family Nurse Practitioner | 363LF0000X | 22998 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | AP60628896 (WA) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Everett
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- Winokuli Bertrand, NPFamily Nurse Practitioner Everett, WA NPI 1104215219
About NPI 1053668335
Carl Gannon, PA's National Provider Identifier is 1053668335, issued on Aug 6, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Everett, WA. The record was last updated on May 20, 2021.