Individual
MRS. ELIZABETH SUZANNE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
425 E 22ND ST STE 102B, OWASSO, OK 74055-4486
(918) 376-4117
Mailing address
18676 E CROOKED OAK DR, OWASSO, OK 74055-5047
(405) 863-4351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214515
OK
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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