Individual
MRS. SUSAN MAGARET CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
1000 E UNIVERSITY AVE # 3068, LARAMIE, WY 82071-2000
(307) 766-2130
Mailing address
1000 E UNIVERSITY AVE DEPT 3068, LARAMIE, WY 82071-2001
(307) 766-2130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1680
WY
Other
Enumeration date
08/15/2013
Last updated
04/01/2024
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