John Patrick Cannistraro, REGISTERED NURSE Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1215407200

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

RN184591 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2018-12-03

Last updated

2018-12-03