Individual
MRS. DONNA JEAN CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
42444 W BLUE SUEDE SHOES LN, MARICOPA, AZ 85239-2274
(602) 432-9591
(520) 568-2117
Mailing address
42444 W BLUE SUEDE SHOES LN, MARICOPA, AZ 85239-2274
(602) 432-9591
(520) 568-2117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN032234
AZ
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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