Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY GANNON
Active Sole ProprietorAMY GANNON is a Community Health Worker healthcare provider located in WAKEFIELD, Rhode Island. NPI 1639616477 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WAKEFIELD, RI
Registration Details
- NPI Number
- 1639616477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2017 (9.5427917539198 yrs)
- Last Updated
- Jan 31, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 MIDDLEBRIDGE RDWAKEFIELD, RI, 028797105Browse RI providers · Browse ZIP 02879
- Phone
- 8608176905
- Primary Specialty
-
Community Health Worker
172V00000X
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.