Gannon, Teresa A
Gannon, Teresa A is an sole proprietor health care provider with primary practice located at 39621 N White Tail Ln , Anthem AZ 85086-3683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gannon, Teresa A can be contacted via phone (518) 878-7491.Contact Information
Primary practice address
39621 N White Tail Ln
Anthem AZ 85086-3683
Phone: (518) 878-7491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 285061 | Arizona |
Profile Details
| NPI number | 1821392424 |
|---|---|
| LBN Legal business name | Gannon, Teresa A |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2010 |
| Last updated | Feb 23rd, 2023 - about 3 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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