Individual provider · Type 1 NPI

Ellen Cannon

Physician Assistant · Philadelphia, PA

NPI number 1083169890 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

1610 Christian St Apt 2
Philadelphia, PA 19146-2066

Other practice locations

  • 160 E Erie Ave, Philadelphia, PA 19134-1011 · (610) 209-6383

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XMA058639 (PA)
Physician Assistant Primary 363A00000XMA058639 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083169890

Ellen Cannon's National Provider Identifier is 1083169890, issued on Aug 22, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 26, 2024.