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Shelley Cannon
Family Nurse Practitioner in Phoenix, Arizona
NPI 1700110749

Shelley Cannon is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Shelley Cannon practices in Phoenix, AZ. The NPI Number for Shelley Cannon is 1700110749 and holds a License No. AP3189 (Arizona).

The current practice location address for Shelley Cannon is 9201 N 5Th St, Phoenix, AZ and can be reached out via phone at 602-331-5779 and via fax at 602-331-7855.

Location: 9201 N 5Th St, Phoenix, AZ, 85020-2532
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Provider Profile Details
NPI Number
1700110749
Provider Name
Shelley Cannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
9201 N 5Th St, Phoenix, AZ, 85020-2532
Phone Number
602-331-5779
Fax Number
602-331-7855
Provider Enumeration Date
09/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
503287 05 AZ
institution
Provider Business Practice Location Address Details
Address
9201 N 5Th St
City
State
Zip
85020-2532
Phone Number
602-331-5779
Fax Number
602-331-7855
person
Provider Business Mailing Address Details
Address
9201 N 5Th St
City
State
Zip
85020-2532
Phone Number
602-331-5779
Fax Number
602-331-7855
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP3189 (Arizona)
Definition
Definition to come...
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