Gannon, Barbara

Gannon, Barbara is an sole proprietor health care provider with primary practice located at 101 Dudley St , Providence RI 02905-2401. 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 / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gannon, Barbara can be contacted via phone (401) 274-1100.

Contact Information

Primary practice address
101 Dudley St Providence RI 02905-2401
Phone: (401) 274-1100
Fax: (401) 453-7948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP25427 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X NPP25427 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN200043 Massachusetts

Profile Details

NPI number 1932415932
LBN Legal business name Gannon, Barbara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2010
Last updated Aug 27th, 2010 - about 16 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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