Individual provider · Type 1 NPI

Gina Cannon

Licensed Practical Nurse · Penndel, PA

NPI number 1386015345 Active

Practice location

1517 Durham Rd
Penndel, PA 19047-5707

Fax (215) 752-7195

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN264410 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1386015345

Gina Cannon's National Provider Identifier is 1386015345, issued on Oct 15, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Penndel, PA. The record was last updated on Oct 15, 2015.