Laura J Cannon
Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
1950 Circle Of Hope Clinic 1a
Salt Lake City
, Utah 84112-5550
Laura J Cannon
Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
1950 Circle Of Hope Clinic 1a
Salt Lake City
, Utah 84112-5550
(801) 715-8228
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Laura J Cannon
- 127 So. 500 East #600
- Salt Lake City, UT
- Zip : 84102-1971
- Fax : (801) 715-8228
- Phone : (801) 587-6705
Second Address
- Laura J Cannon
- 1950 Circle Of Hope Clinic 1a
- Salt Lake City, UT
- Zip : 84112-5550
- Fax : (801) 585-7902
- Phone : (801) 585-0100
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 269735-4405 | UT |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 269735-4405 | UT |
National Provider Identifier
| NPI | 1568417376 |
|---|---|
| Provider Name | Laura J Cannon |
| First Address | Salt Lake City, UT 84102-1971 |
| Second Address | Salt Lake City, UT 84112-5550 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 11/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D5804 | (05) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.