Dr HEIDI CANNAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
FAXTON - ST LUKES HEALTHCARE
7980 STATE ROUTE 12
BARNEVELD
NY
133042536
Tel: 3156248440
| Npi | 1598258121 |
| Pac Id | 5395091185 |
| Professional Enrollment Id | I20180710000561 |
| Last Name | CANNAN |
| First Name | HEIDI |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | FAXTON - ST LUKES HEALTHCARE |
| Group Practice Pac Id | 2769380252 |
| Number Of Group Practice Members | 150 |
| Line 1 Street Address | 7980 STATE ROUTE 12 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BARNEVELD |
| State | NY |
| Zip Code | 133042536 |
| Phone Number | 3156248440 |
| Hospital Affiliation Ccn 1 | 330044 |
| Hospital Affiliation Lbn 1 | FAXTON-ST LUKE'S HEALTHCARE |
| Hospital Affiliation Ccn 2 | 330245 |
| Hospital Affiliation Lbn 2 | ST ELIZABETH MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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