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Gabi Gannon

Registered Nurse in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1104744762
StatusActive
Last updated in NPPESJul 9, 2026

Details

NPI
1104744762
Entity type
Individual (NPI-1)
Name
Gabi Gannon
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2026
Certification date
Jul 9, 2026
Last updated
Jul 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse799847CAYes

Practice location

1165 Montgomery Dr
Santa Rosa, CA 95405-4801

Phone 707-525-5300

Mailing address

3548 Holland Dr
Santa Rosa, CA 95404-6266

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