NPI 1730714866 · live from the CMS NPI Registry
Cannon Surgical First Assisting LLC
Registered Nurse, Registered Nurse First Assistant in Tucson, AZ. National Provider Identifier 1730714866, active.
NPI record
| NPI | 1730714866 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 60875 E Eagle Mountain Dr, Tucson, AZ 85739 |
| Practice phone | 214-227-2457 |
| Enumerated | March 9, 2020 |
| Last updated | May 15, 2020 |
| Authorized official | Robert Cannon, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.