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MRS. HOLLY E GANNON RNC, NNP
NPI 1396960951
Nurse Practitioner - Critical Care Medicine in Saint Louis, MO

Active since April 16, 2007
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 268-2700(314) 268-6474 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Holly E Gannon Rnc, Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HOLLY E GANNON RNC, NNP (NPI 1396960951) is an individual critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (106839) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1396960951
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameMRS. HOLLY E GANNONCredential: RNC, NNP
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address2 Auburn Ridge CtSaint Peters, MO 63376-6865 · (636) 922-9446
Phone(314) 268-2700
Fax(314) 268-6474
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1396960951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in MO · 106839
1465 S GRAND BLVD, Saint Louis, MO 63104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Gannon's NPI number?

The NPI number for Holly Gannon is 1396960951. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Holly Gannon located?

Holly Gannon practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 268-2700.

What is Holly Gannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

When was this NPI record last updated?

The NPPES record for Holly Gannon was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.