Individual provider · Type 1 NPI

Holly E. Gannon, RNC, NNP

Critical Care Medicine Nurse Practitioner · St. Louis, MO

NPI number 1396960951 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Fax (314) 268-6474

Mailing address

2 Auburn Ridge Ct
St. Peters, MO 63376-6865

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner Primary 363LC0200X106839 (MO)

Critical Care Medicine Nurse Practitioner: Definition to come...

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About NPI 1396960951

Holly E. Gannon, RNC, NNP's National Provider Identifier is 1396960951, issued on Apr 16, 2007. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in St. Louis, MO. The record was last updated on Nov 19, 2020.