IndividualActive
Omari Cannon
NPI 1013782218 · Emergency Registered Nurse · Detroit, MI
Provider details
- NPI number
- 1013782218
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704352284 (MI)
Mailing address
4646 John R St
Detroit, MI 48201-1916
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2023-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.