# MARCELLA R GANNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225976475
- **Gender:** F
- **Credential:** APN, NP-RX, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 0175321 | CO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1002066.NP | CO | — |

## Other

- **Enumeration date:** 03/21/2026
- **Last updated:** 09/08/2026