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Search › Washington › Family Nurse Practitioner

Carl Gannon, PA

NPI 1053668335 · on the registry since 2012

Practice

Address
12800 Bothell Everett Hwy
Everett, WA 98208
Phone
(425) 316-5180
Organisation at this address
Summit Rehabilitation, Llc
Providence Health & Services
Laboratory Corporation Of America
Providence Health & Services - Wa
Providence Health & Services-Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Medical Physician Assistant
Family Nurse Practitioner
Licence states on file
CA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington