Marsha Gail Cannon RN

NPI 1609031186 - Registered Nurse - 163WP2201X

NPI Details
NPI 1609031186
Gender Female
Enumeration Date 07/23/2008
Last Updated 07/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
215 CORPORATE DR
SUITE B
BEAVER DAM WI, 53916-3123, US
Phone (920) 356-9415
Fax (920) 356-9477
Business Location
215 CORPORATE DR
SUITE B
BEAVER DAM WI, 53916-3123, US
Phone (920) 356-9415
Fax (920) 356-9477
Toxanomy
Taxonomy Code 163WP2201X
License State Wisconsin
License Number 71301-30
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According to our database, Marsha Gail Cannon RN NPI is 1609031186, taxonomy code is 163WP2201X and license number is 71301-30, license state is located at Wisconsin. Marsha Gail Cannon RN physically located at 215 Corporate Dr, Beaver Dam WI, 53916-3123. NPI Number Marsha Gail Cannon RN has the Individual type.

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1609031186 NPI number is provided on an as is basis without warranty of any kind. 1609031186 is maintained by the National Plan & Provider Enumeration System. The contents of Marsha Gail Cannon RN are for informational purposes only.