Individual provider · Type 1 NPI
Brenda Lee Bautista Cannon
Family Nurse Practitioner · Greenville, SC
NPI number
1366340770
Active
Practice location
16 Mills Ave Ste 6
Greenville, SC 29605-4065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN.32372 (SC) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1366340770
Brenda Lee Bautista Cannon's National Provider Identifier is 1366340770, issued on Oct 27, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on Oct 27, 2026.