National Provider Identifier Database

AMANDA G CANNON, FNP – NPI #1760968804
Family


Contact Information

AMANDA G CANNON, FNP
667 E 500 N STE 200
VINEYARD, UT84059-6004
Phone: 801-669-5758
Fax: 801-216-8357
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Obstetrics & Gynecology 363LX0001X

* Indicates primary specialty

NPI Profile & details for AMANDA G CANNON

NPI Number 1760968804
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/12/2018
Last updated 11/15/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • UT License #: 911041
  • UT License #: 9111041-4405
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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