Individual
MEGAN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
108 KNELLS RIDGE BLVD, SUITE 100, CHESAPEAKE, VA 23320-4885
(757) 436-1234
(757) 548-3665
Mailing address
108 KNELLS RIDGE BLVD, SUITE 100, CHESAPEAKE, VA 23320-4885
(757) 436-1234
(757) 548-3665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169324
VA
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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