Active NPIIndividual provider

Kaileen R Canon, FNP-C

Nurse Practitioner, Primary Care in Hadley, Massachusetts

NPI Number1033843859
Practice location
234 Russell St # 7, Hadley, MA 01035-3534
Fax
—
Last updated
July 16, 2022

Kaileen Riley Canon is a Nurse Practitioner, Primary Care based in Hadley, MA. Kaileen Riley Canon practices in Hadley, MA and has the professional credentials of FNP-C. The NPI Number for Kaileen Riley Canon is 1033843859 and holds a License No. F07221086 (MA). The current practice location address for Kaileen Riley Canon is 234 Russell St # 7, Hadley, MA 01035-3534 and can be reached out via phone at 413-586-6020.

Provider Profile Details

NPI Number
1033843859
Provider Name
Kaileen Riley Canon
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
234 Russell St # 7, Hadley, MA 01035-3534
Phone Number
413-586-6020
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2022
Last Update Date
July 16, 2022
Certification Date
July 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
234 Russell St # 7
Hadley, MA 01035-3534
City
Hadley
Zip
01035-3534
Phone Number
413-586-6020
Hadley, MA 01035Get directions →

Provider Business Mailing Address Details

Address
66 Mountain St
Haydenville, MA 01039-9723
City
Haydenville
State
MA
Zip
01039-9723
Phone Number
413-588-8786

License Information

License Number
F07221086
License State
MA
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaileen R Canon, FNP-C?

The NPI number of Kaileen R Canon, FNP-C is 1033843859. It was assigned on July 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Kaileen R Canon, FNP-C?

Kaileen R Canon, FNP-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number F07221086.

Where does Kaileen R Canon, FNP-C practice?

The practice location is 234 Russell St # 7, Hadley, MA 01035-3534. The office can be reached at 413-586-6020 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033843859 directly on the NPPES registry website.

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