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Individual

MISS CATHERINE ELAINE GANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1630 WOODBROOKE DR, SALISBURY, MD 21804-8501
(410) 912-6330
Mailing address
1630 WOODBROOKE DR, SALISBURY, MD 21804-8501

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0001328
DE
363LF0000X
Family Nurse Practitioner
Primary
R200736
MD

Other

Enumeration date
09/24/2019
Last updated
12/31/2019
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