Individual
WENDY FARRELL GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 947-3838
(757) 886-6751
Mailing address
2 BERNADINE DRIVE, NEWPORT NEWS, VA 23602-4499
(757) 947-3838
(757) 886-6751
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166408
VA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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