Provider Demographics
NPI:1316250210
Name:CANNON, ANNETTE H
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:H
Last Name:CANNON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 ROD CAREW DR.
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-2446
Mailing Address - Country:US
Mailing Address - Phone:512-814-2022
Mailing Address - Fax:512-278-8976
Practice Address - Street 1:3401 ROD CAREW DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-2446
Practice Address - Country:US
Practice Address - Phone:512-814-2022
Practice Address - Fax:512-278-8976
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula