Individual
DILYARA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5653 S HIGHWAY 95, STE A, FORT MOHAVE, AZ 86426-6068
(928) 768-2558
(928) 768-2874
Mailing address
5653 S HIGHWAY 95, STE A, FORT MOHAVE, AZ 86426-6068
(928) 768-2558
(928) 768-2874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP7479
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP7479
AZ
Other
Enumeration date
12/15/2014
Last updated
03/04/2025
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