Individual provider · Type 1 NPI

Gabi Gannon

Registered Nurse · Santa Rosa, CA

NPI number 1104744762 Active

Practice location

1165 Montgomery Dr
Santa Rosa, CA 95405-4801

Mailing address

3548 Holland Dr
Santa Rosa, CA 95404-6266

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X799847 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104744762

Gabi Gannon's National Provider Identifier is 1104744762, issued on Jul 9, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 9, 2026.