Individual
MRS. HOLLY E GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-2700
(314) 268-6474
Mailing address
2 AUBURN RIDGE CT, SAINT PETERS, MO 63376-6865
(636) 922-9446
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
106839
MO
Other
Enumeration date
04/16/2007
Last updated
11/19/2020
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