-- PATRICIA GANNON -- MPH, CNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1922354182- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MPH, CNP
- Status
- Active
Contact & Location
- Address
- 17578 DODD BLVD, LAKEVILLE, MN, 550443909
- Phone
- (952) 484-8060
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: MN #R 79950-2