Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARSHA GAIL CANNON, RN
Active Sole ProprietorMARSHA GAIL CANNON, RN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BEAVER DAM, Wisconsin. NPI 1609031186 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BEAVER DAM, WI
Registration Details
- NPI Number
- 1609031186
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2008 (17.873753814711 yrs)
- Last Updated
- Jul 23, 2008
- License
-
71301-30 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 CORPORATE DRSUITE BBEAVER DAM, WI, 539163123Browse WI providers · Browse ZIP 53916
- Phone
- 9203569415
- Fax
- 9203569477
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
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.