Mary Cannon
Individual provider Active NPI School Registered Nurse · Selbyville, DE
NPI 1801930623 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801930623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- L10018779 (DE)
- Practice address
- 31 Hosier St
Selbyville, DE 19975-9300 - Phone
- (302) 436-1000
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L10018779 | DE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | L10018779 | DE | Yes |
Addresses
Primary practice location
31 Hosier St
Selbyville, DE 19975-9300
Mailing address
31 Hosier St
Selbyville, DE 19975-9300
Other providers in Selbyville, DE
- Tricia E Bounds
- Jane Boyd
- Jenna Alexandria Bradley
- Brandywine Assisted Living at Fenwick Island, LLC
- Sheila Marie Brant
- Nancy Caras
- Georgia Cassedy
- Joanne C Cassidy
- Sandra Chandler
- Christian Clark
All providers in Selbyville, DE · School Registered Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.