Individual
RYAN THOMAS CANNICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1035 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-4477
(704) 316-1886
(704) 316-1887
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012523
NC
Other
Enumeration date
11/07/2019
Last updated
01/13/2025
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