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Individual

DR. BRITTANY NICOLE GANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, MSN, AGPCNP-BC

Contact information

Practice address
516 W 168TH ST, NEW YORK, NY 10032-4103
(212) 326-5705
(212) 342-0093
Mailing address
516 W 168TH ST, NEW YORK, NY 10032-4103
(212) 326-5705
(212) 342-0093

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9343603
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
309024
NY

Other

Enumeration date
07/15/2015
Last updated
12/10/2019
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