Individual provider · Type 1 NPI

Clare Elizabeth Gannon, FNP-C

Nurse Practitioner · Mankato, MN

NPI number 1114801008 Active

Practice location

1025 Marsh St
Mankato, MN 56001-4752

Call (570) 625-4031 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X13175 (MN)
Nurse Practitioner Primary 363L00000X13175 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114801008

Clare Elizabeth Gannon, FNP-C's National Provider Identifier is 1114801008, issued on Aug 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mankato, MN. The record was last updated on Sep 17, 2025.