Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RENEE L GANNON, COTA L
Active Sole ProprietorMRS. RENEE L GANNON, COTA L is a Skilled Nursing Facility healthcare provider located in BROOKLINE, Massachusetts. NPI 1881711331 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · BROOKLINE, MA
Registration Details
- NPI Number
- 1881711331
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.208329012984 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1741 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 WEBSTER STBROOKLINE, MA, 024464938Browse MA providers · Browse ZIP 02446
- Phone
- 6177342300
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.