Holly E Gannon RNC, NNP

NPI 1396960951 - Nurse Practitioner - 363LC0200X

NPI Details
NPI 1396960951
Gender Female
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1465 S GRAND BLVD
SAINT LOUIS MO, 63104-1003, US
Phone (314) 268-2700
Fax (314) 268-6474
Business Location
2 AUBURN RIDGE CT
SAINT PETERS MO, 63376-6865, US
Phone (636) 922-9446
Fax
Toxanomy
Taxonomy Code 363LC0200X
License State Missouri
License Number 106839
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According to our database, Mrs. Holly E Gannon RNC, NNP NPI is 1396960951, taxonomy code is 363LC0200X and license number is 106839, license state is located at Missouri. Holly E Gannon RNC, NNP physically located at 1465 S Grand Blvd, Saint Louis MO, 63104-1003. NPI Number Holly E Gannon RNC, NNP has the Individual type.

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1396960951 NPI number is provided on an as is basis without warranty of any kind. 1396960951 is maintained by the National Plan & Provider Enumeration System. The contents of Holly E Gannon RNC, NNP are for informational purposes only.