Individual
CAROL A GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
(970) 378-8088
Mailing address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
(970) 378-8088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0002761-NP
CO
363LF0000X
Family Nurse Practitioner
RN.0116733
CO
363LF0000X
Family Nurse Practitioner
RXN.0099175-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73426547
—
CO
Enumeration date
03/21/2008
Last updated
04/28/2020
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