National Provider Identifier Database

AKIVIA D CANNON, RN – NPI #1750976205
Administrator


Contact Information

AKIVIA D CANNON, RN
4020 LAKE WORTH RD
LAKE WORTH, FL33461-3918
Phone: 855-859-8810
Fax:
Website:
Specialty Taxonomy Code
* Administrator 163WA2000X

* Indicates primary specialty

NPI Profile & details for AKIVIA D CANNON

NPI Number 1750976205
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/06/2021
Last updated 03/06/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • FL License #: 9361696
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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