IndividualActive
Marsha Cannon, RN
NPI 1609031186 · Ambulatory Care Registered Nurse · Beaver Dam, WI
Provider details
- NPI number
- 1609031186
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 71301-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
215 Corporate Dr
Suite B
Beaver Dam, WI 53916-3123
Phone: (920) 356-9415
Fax: (920) 356-9477
Approximate (ZIP-level) locationGet directions
Mailing address
215 Corporate Dr
Beaver Dam, WI 53916-3123
Registry dates
- Enumerated
- 2008-07-23
- Last updated
- 2008-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.