Nurse Practitioner, Family
CARL GANNON PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1053668335 · enumerated 2012-08-06 · record updated 2021-05-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 12800 BOTHELL EVERETT HWY, EVERETT, WA, 98208-6642 (425) 316-5180 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 3360, PORTLAND, OR, 97208-3360 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · License 22398 CA
- Nurse Practitioner, Family 363LF0000X · License 22998 CA
- Nurse Practitioner, Family 363LF0000X · Primary · License AP60628896 WA
In this directory
Locations and evidence
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Practice location
EVERETT, WA, 982086642
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.