MELANIE SUSAN CANNON

FAIRBANKS, AK
NPI1174827133
Former NameMELANIE SUSAN CRISP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209008933)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9283382)
Enumeration Date2011-01-06
Last Update Date2024-12-06
Business Address
MELANIE SUSAN CANNON ARNP
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-6682
Mailing Address
MELANIE SUSAN CANNON ARNP
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-6682