Individual provider · Type 1 NPI
Kerri Ann Gannon, NPC
Adult Health Nurse Practitioner · Boston, MA
NPI number
1245649870
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
41 Mall Rd
Burlington, MA 01805-2696
Other practice locations
- 41 Mall Rd, Lahey Hospital And Medical Center, Burlington, MA 01805-0001 · (781) 744-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN234873 (MA) |
| Primary Care Nurse Practitioner | 363LP2300X | RN234873 (MA) |
| Nurse Practitioner | 363L00000X | RN234873 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1245649870
Kerri Ann Gannon, NPC's National Provider Identifier is 1245649870, issued on Aug 7, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Apr 7, 2021.