Natalia Rose Mainord-Cannon, FNP-C
Nurse Practitioner, Family in Charleston, MO. Individual provider (NPI-1).
NPI number1194407635
StatusActive
Last updated in NPPESFeb 24, 2026
Details
- NPI
- 1194407635
- Entity type
- Individual (NPI-1)
- Name
- Natalia Rose Mainord-Cannon
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2023
- Certification date
- Feb 24, 2026
- Last updated
- Feb 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2023024699 | MO | Yes |
Practice location
1403 E Marshall StCharleston, MO 63834-1446
Phone 573-683-2327 · Fax 573-683-2373
Mailing address
1008 N Main StSikeston, MO 63801-5044
Phone 573-472-7423
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Other Family Nurse Practitioner providers in Charleston, MO
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All 6 Family Nurse Practitioner providers in Charleston · All 64 providers in Charleston
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