Individual
CHRISTIE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
700 W CENTRAL AVE STE 200, EL DORADO, KS 67042-2187
(316) 320-9191
Mailing address
725 DUBLIN DR, ANDOVER, KS 67002-7860
(316) 251-2531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81524
KS
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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