Individual
ANDY ALLEN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2000 S WHEELING AVE STE 200, TULSA, OK 74104-5656
(918) 748-7854
(918) 403-6335
Mailing address
2000 S WHEELING AVE STE 200, TULSA, OK 74104-5656
(918) 748-7854
(918) 403-6335
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
208609
OK
Other
Enumeration date
06/24/2022
Last updated
04/25/2024
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