Individual
MR. JOHN WILLIAM CANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC, APRN
Contact information
Practice address
655 BROADWAY, REVERE, MA 02151-2347
(617) 285-8731
Mailing address
111 DERBY RD, REVERE, MA 02151-1803
(617) 285-8731
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
RN2298986
MA
174H00000X
Health Educator
RN2298986
MA
363LA2100X
Acute Care Nurse Practitioner
RN2298986
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2298986
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S26425787
—
MA
Enumeration date
06/26/2020
Last updated
06/29/2022
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