Serina Cannon, LPN
Licensed Practical Nurse in Wilmington, DE. Individual provider (NPI-1).
NPI number1023301132
StatusActive
Last updated in NPPESMay 23, 2011
Details
- NPI
- 1023301132
- Entity type
- Individual (NPI-1)
- Name
- Serina Cannon
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2011
- Last updated
- May 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L2-0010925 | DE | Yes |
Practice location
2307 N Harrison St Apt 17Wilmington, DE 19802-3363
Phone 302-507-7986
Mailing address
2307 N Harrison St Apt 17Wilmington, DE 19802-3363
Phone 302-507-7986
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