Individual provider · Type 1 NPI

Samuel Harrison Cannon Jr., CRNA

Certified Registered Nurse Anesthetist · Lake Geneva, WI

NPI number 1831432996 Active

Practice location

N2950 State Road 67
Lake Geneva, WI 53147-2655

Mailing address

29624 Network Pl
Chicago, IL 60673-1296

Other practice locations

  • 3302 Wembley Dr, Zion, IL 60099 · (847) 977-3483

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X041353866 (IL)
Certified Registered Nurse Anesthetist 367500000X6106-033 (WI)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1831432996

Samuel Harrison Cannon Jr., CRNA's National Provider Identifier is 1831432996, issued on Mar 27, 2013. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lake Geneva, WI. The record was last updated on Oct 26, 2026.