Mrs Kristen Nicole Cannon, LPN is a
Licensed Practical Nurse based in Hurley, New York. Mrs Kristen Nicole Cannon is licensed to practice in New York (license number 1029485) and her current practice location is
6 Trail Rd, Hurley, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 802-0230.
NPI number for Mrs Kristen Nicole Cannon is 1063746402 and her current mailing address is 6 Trail Rd, Hurley, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063746402.
Provider's Profile
| Full Name | Mrs Kristen Nicole Cannon |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 6 Trail Rd, Hurley, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063746402
- Provider Enumeration Date: 10/01/2009
- Last Update Date: 10/01/2009
Medical Identifiers
Medical identifiers for Mrs Kristen Nicole Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063746402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 1029485 (New York) | 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. Mrs Kristen Nicole 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 |
|---|
Mrs Kristen Nicole Cannon, LPN
6 Trail Rd,
Hurley, NY 12443-5034
Ph: (845) 802-0230 | Mrs Kristen Nicole Cannon, LPN
6 Trail Rd,
Hurley, NY 12443-5034
Ph: (845) 802-0230 |
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