Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL GANNON, PA
ActiveCARL GANNON, PA is a Family Nurse Practitioner healthcare provider located in EVERETT, Washington. NPI 1053668335 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · EVERETT, WA
Registration Details
- NPI Number
- 1053668335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2012 (14.011028778079 yrs)
- Last Updated
- May 20, 2021
- Licenses
-
22398 (CA)22998 (CA)AP60628896 (WA)
Practice Information
- Address
-
12800 BOTHELL EVERETT HWYEVERETT, WA, 982086642Browse WA providers · Browse ZIP 98208
- Phone
- 4253165180
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in EVERETT, WA
| Name | Credential | NPI |
|---|---|---|
| MS. DIANNE LOUISE KUTZKE | ARNP | 1750363628 |
| TERESA M ERSKINE | ARNP | 1437121761 |
| DAN L MILLER | ARNP | 1134168164 |
| MS. MELINDA L CHURCH | ARNP | 1538187901 |
| NAN VICTORIA WALKER | NP | 1649298787 |
| SHARON J. WILSON | ARNP | 1407874548 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.