CARL GANNON, PA

Nurse Practitioner - Family

Active Individual
NPI: 1053668335

Practice Address

12800 BOTHELL EVERETT HWY
Everett, WA 98208

Phone: (425) 316-5180

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 22398 (CA)
Nurse Practitioner - Family 363LF0000X Yes AP60628896 (WA)

Frequently Asked Questions

NPI 1053668335 is the National Provider Identifier for CARL GANNON, PA, a Nurse Practitioner - Family provider located in Everett, WA. This NPI was enumerated on August 6, 2012.
CARL GANNON, PA practices at 12800 BOTHELL EVERETT HWY, Everett, WA 98208.

Quick Facts

NPI
1053668335
Type
Individual
Enumerated
Aug 6, 2012
Last Updated
May 20, 2021

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