Individual provider · Type 1 NPI
Spencer Cannon, R.N.
Pediatric Nurse Practitioner · Salt Lake City, UT
NPI number
1346525201
Active
Practice location
161 S Dooley Ct
Salt Lake City, UT 84102-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 8038048-3102 (UT) |
| Pediatric Registered Nurse | 163WP0200X | 8038048-3102 (UT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 8038048-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1346525201
Spencer Cannon, R.N.'s National Provider Identifier is 1346525201, issued on Oct 11, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 4, 2024.