Cannonier, Kenya

Cannonier, Kenya is an sole proprietor health care provider with primary practice located at 233 Lehigh Ave , Newark NJ 07112-1854. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cannonier, Kenya can be contacted via phone (862) 255-8112.

Contact Information

Primary practice address
233 Lehigh Ave Newark NJ 07112-1854
Phone: (862) 255-8112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00564600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ00564600 New Jersey

Profile Details

NPI number 1043607658
LBN Legal business name Cannonier, Kenya
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Apr 21st, 2015 - about 11 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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