Rita Cannon NURSE PRACTIONER

NPI 1679650121 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1679650121
Gender Female
Enumeration Date 11/01/2006
Last Updated 09/12/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 N WESTWOOD BLVD
POPLAR BLUFF MO, 63901-3318, US
Phone (573) 686-4151
Fax
Business Location
1500 N WESTWOOD BLVD
POPLAR BLUFF MO, 63901-3318, US
Phone (573) 686-4151
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Missouri
License Number 094961
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According to our database, Rita Cannon NURSE PRACTIONER NPI is 1679650121, taxonomy code is 363L00000X and license number is 094961, license state is located at Missouri. Rita Cannon NURSE PRACTIONER physically located at 1500 N Westwood Blvd, Poplar Bluff MO, 63901-3318. NPI Number Rita Cannon NURSE PRACTIONER has the Individual type.

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1679650121 NPI number is provided on an as is basis without warranty of any kind. 1679650121 is maintained by the National Plan & Provider Enumeration System. The contents of Rita Cannon NURSE PRACTIONER are for informational purposes only.