Individual
ASHLEY BOOTH CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(256) 429-5071
(256) 429-4674
Mailing address
PO BOX 52404, LAFAYETTE, LA 70505-2404
(256) 429-5071
(256) 429-4674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R89948
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
1-13837
AL
Other
Enumeration date
01/04/2012
Last updated
02/11/2014
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