Gina Cannon, is a
Licensed Practical Nurse based in Penndel, Pennsylvania. Gina Cannon is licensed to practice in Pennsylvania (license number PN264410) and her current practice location is
1517 Durham Rd, Penndel, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 752-1541.
NPI number for Gina Cannon is 1386015345 and her current mailing address is 1517 Durham Rd, Penndel, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386015345.
Provider's Profile
Full Name | Gina Cannon |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1517 Durham Rd, Penndel, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386015345
- Provider Enumeration Date: 10/15/2015
- Last Update Date: 10/15/2015
Medical Identifiers
Medical identifiers for Gina Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386015345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN264410 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gina Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gina Cannon, 1517 Durham Rd, Penndel, PA 19047-5707 Ph: (215) 752-1541 | Gina Cannon, 1517 Durham Rd, Penndel, PA 19047-5707 Ph: (215) 752-1541 |
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