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Individual

ALISON L CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1021 DULANEY VALLEY RD, BALTIMORE, MD 21204-2753
(410) 337-5023
Mailing address
134 FERGUSON AVE, BURLINGTON, VT 05401-5011
(802) 862-3478

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
101-0030286
VT
363LA2200X
Adult Health Nurse Practitioner
Primary
R135930
MD

Other

Enumeration date
02/23/2009
Last updated
01/27/2020
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