Carl Gannon, PA Valid NPI

Individual provider · Family Nurse Practitioner · Everett, WA

NPI

1053668335

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

AP60628896 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2012-08-06

Last updated

2021-05-20