person
Carl Gannon, PA
Family Nurse Practitioner in Everett, Washington
NPI 1053668335

Carl Gannon is a Family Nurse Practitioner based in Portland, WA and is specialized in Family. Carl Gannon practices in Everett, WA and has the professional credentials of PA. The NPI Number for Carl Gannon is 1053668335 and holds a License No. 22398 (Washington).

The current practice location address for Carl Gannon is 12800 Bothell Everett Hwy, Everett, WA and can be reached out via phone at 425-316-5180.

Location: 12800 Bothell Everett Hwy, Everett, WA, 97208-3360
person
Provider Profile Details
NPI Number
1053668335
Provider Name
Carl Gannon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
12800 Bothell Everett Hwy, Everett, WA, 97208-3360
Phone Number
425-316-5180
Fax Number
Provider Enumeration Date
08/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12800 Bothell Everett Hwy
City
State
Zip
98208-6642
Phone Number
425-316-5180
Fax Number
person
Provider Business Mailing Address Details
Address
12800 Bothell Everett Hwy
City
State
Zip
98208-6642
Phone Number
425-316-5180
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
22998 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
22398 (California)
Definition
Definition to come...
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