PATRICIA GANNON MPH, CNP
NPI 1922354182
Nurse Practitioner - Family in Lakeville, MN

Active since July 25, 2012
17578 DODD BLVD, LAKEVILLE, MN 55044(952) 484-8060 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patricia Gannon Mph, Cnp NPPES

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

PATRICIA GANNON MPH, CNP (NPI 1922354182) is an individual family provider in Lakeville, Minnesota, licensed in Minnesota (R 79950-2) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1922354182
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA GANNONCredential: MPH, CNP
Location Address17578 DODD BLVDLakeville, MN 55044-3909
Mailing Address17578 Dodd BlvdLakeville, MN 55044-3909 · (952) 484-8060
Sole ProprietorNo
Enumeration DateJuly 25, 2012
NPI 1922354182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · R 79950-2
17578 DODD BLVD, Lakeville, MN 55044

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
17578 DODD BLVD
LAKEVILLE, MN 55044
Pharmacist
17578 DODD BLVD
LAKEVILLE, MN 55044

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 Patricia Gannon's NPI number?

The NPI number for Patricia Gannon is 1922354182. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Patricia Gannon located?

Patricia Gannon practices at 17578 Dodd Blvd, Lakeville, MN 55044. The listed phone number is (952) 484-8060.

What is Patricia Gannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Patricia Gannon was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.