Individual
ANN HOLLY CECIL CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2830 CRESCENT AVE, EUGENE, OR 97408-7397
(541) 686-9000
Mailing address
2830 CRESCENT AVE, EUGENE, OR 97408-7397
(541) 686-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202114128NP-PP
OR
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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