# LAURA J CANNON

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

## Provider details

- **NPI number:** 1568417376
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WX0800X | Orthopedic Registered Nurse | 269735-4405 | UT | — |
| 363LA2200X | Adult Health Nurse Practitioner | 269735-4405 | UT | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 269735-4405 | UT | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 11/11/2021