Cannon, Laura J

Cannon, Laura J is an sole proprietor health care provider with primary practice located at 1950 Circle Of Hope Clinic 1A, Salt Lake City UT 84112-5550. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Orthopedic, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Cannon, Laura J can be contacted via phone (801) 585-0100.

Contact Information

Primary practice address
1950 Circle Of Hope Clinic 1A Salt Lake City UT 84112-5550
Phone: (801) 585-0100
Fax: (801) 585-7902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Orthopedic 163WX0800X 269735-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 269735-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 269735-4405 Utah

Profile Details

NPI number 1568417376
LBN Legal business name Cannon, Laura J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Nov 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568417376 NPPES
Utah MEDICAID D5804

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