Individual provider · Type 1 NPI

Molly Cannon

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1689211807 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1000 Map

Mailing address

1 Righter St
Conshohocken, PA 19428-2385

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP021254 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1689211807

Molly Cannon's National Provider Identifier is 1689211807, issued on Dec 6, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 6, 2019.