BARBARA GANNON NP
NPI 1932415932
Nurse Practitioner - Family in Providence, RI
Active since August 27, 2010
About Barbara Gannon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BARBARA GANNON NP (NPI 1932415932) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (NPP25427) and active in the NPI registry since August 2010.
NPPES Registry Identity
NPI1932415932
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBARBARA GANNONCredential: NP
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address18 Martins WayLincoln, RI 02865-1304 · (401) 334-2407
Phone(401) 274-1100
Fax(401) 453-7948
Sole ProprietorYes
Enumeration DateAugust 27, 2010
✔ NPI 1932415932 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in RI · NPP25427
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License NPP25427 (RI), RN200043 (MA)
101 DUDLEY ST, Providence, RI 02905
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932415932, enumerated as an "individual" on August 27, 2010.
The provider is located at 101 DUDLEY ST PROVIDENCE, RI 02905 and the phone number is (401) 274-1100.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.