Individual provider · Type 1 NPI

Chase Andrew Cannon, PA

Student in an Organized Health Care Education/Training Program · Nellis Afb, NV

NPI number 1053877902 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Call (702) 653-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X12556320-8906 (UT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053877902

Chase Andrew Cannon, PA's National Provider Identifier is 1053877902, issued on Feb 15, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nellis Afb, NV. The record was last updated on Aug 29, 2026.