Individual provider · Type 1 NPI

Carol A. Cannon, CNP

Nurse Practitioner · Philadelphia, PA

NPI number 1366996944 Active

Practice location

333 Cottman Ave
Philadelphia, PA 19111

Call (215) 728-2500 Map

Fax (215) 707-8028

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

  • 55 Fruit St, Boston, MA 02114-2621 · (215) 801-8810
  • 333 Cottman Ave, Philadelphia, PA 19111 · (215) 728-2500

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X280058 (MA)
Oncology Registered Nurse 163WX0200XSP019511 (PA)
Acute Care Nurse Practitioner 363LA2100X280058 (MA)
Nurse Practitioner Primary 363L00000XSP019511 (PA)

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 1366996944

Carol A. Cannon, CNP's National Provider Identifier is 1366996944, issued on Aug 11, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 11, 2019.