Individual provider · Type 1 NPI

Lori Cannon, NP-C

Nurse Practitioner · Surprise, AZ

NPI number 1174155097 Active

Practice location

12665 W Smokey Dr Ste 140
Surprise, AZ 85378-3732

Mailing address

1701 Highway A1A Ste 300
Vero Beach, FL 32963-2263

Other practice locations

  • 1300 N 12th St Ste 612, Phoenix, AZ 85006-2850 · (602) 521-3000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X236251 (AZ)
Nurse Practitioner Primary 363L00000X236251 (AZ)

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…

3 other providers at this address

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About NPI 1174155097

Lori Cannon, NP-C's National Provider Identifier is 1174155097, issued on Feb 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Surprise, AZ. The record was last updated on Jul 7, 2026.