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Contact Information

SUSAN R CANNON, RN
523 N WIND RIVER DR
DOUGLAS, WY82633-2027
 Phone: 307-259-6445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SUSAN R CANNON · (Female)

NPI # 1518132240
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/24/2008
Last updated 04/24/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 21546
Hospital affiliation(s) Not Available
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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