MARSHA GAIL CANNON RN
NPI 1609031186
Registered Nurse - Ambulatory Care in Beaver Dam, WI
Active since July 23, 2008
215 CORPORATE DR, SUITE B, BEAVER DAM, WI 53916(920) 356-9415(920) 356-9477 Get Directions Write a Review
About Marsha Gail Cannon Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARSHA GAIL CANNON RN (NPI 1609031186) is an individual ambulatory care provider in Beaver Dam, Wisconsin, licensed in Wisconsin (71301-30) and active in the NPI registry since July 2008.
NPPES Registry Identity
NPI1609031186
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameMARSHA GAIL CANNONCredential: RN
Location Address215 CORPORATE DR, SUITE BBeaver Dam, WI 53916-3123
Mailing Address215 Corporate Dr, Suite BBeaver Dam, WI 53916-3123 · (920) 356-9415 · Fax (920) 356-9477
Phone(920) 356-9415
Fax(920) 356-9477
Sole ProprietorYes
Enumeration DateJuly 23, 2008
✔ NPI 1609031186 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in WI · 71301-30
215 CORPORATE DR, Beaver Dam, WI 53916
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609031186, enumerated as an "individual" on July 23, 2008.
The provider is located at 215 CORPORATE DR SUITE B BEAVER DAM, WI 53916 and the phone number is (920) 356-9415.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.
