TERESA A GANNON

ANTHEM, AZ
NPI1821392424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  285061)
Enumeration Date2010-12-23
Last Update Date2023-02-23
Business Address
TERESA A GANNON Nurse Practitioner
39621 N WHITE TAIL LN
ANTHEM, AZ 85086-3683
Phone number: 518-878-7491
Mailing Address
TERESA A GANNON Nurse Practitioner
39621 N WHITE TAIL LN
ANTHEM, AZ 85086-3683
Phone number: 518-878-7491
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