Wendy Farrell Gannon, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024166408 Issued in VA

Practice address

2 Bernardine Dr
Newport News, VA 23602-4404

Phone

(757) 947-3838

Fax

(757) 886-6751

NPI assigned

Jul 30, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1235395286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BERNADINE DRIVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024499",
            "telephone_number": "757-947-3838",
            "fax_number": "757-886-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BERNARDINE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024404",
            "telephone_number": "757-947-3838",
            "fax_number": "757-886-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "WENDY",
        "middle_name": "FARRELL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024166408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamren Gallon, PHARMACIST
• Natasha Rene Gallon, FNP-BC
• Jacqulyn Galloway, M.D.
• Michelle Sy Gan
• Shalin Gandhi
• Maria Tereselna Gantan
• Suzanne Marie Garber, MSW
• Marycruz Garcia-Reyes, LAT, ATC
• Rebeca F Garcia
• Brandon Gardner

• Adult Health Nurse Practitioner in Newport News, VA
• Providers in Newport News, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.