Nurse Practitioner, Pediatrics
SPENCER CANNON R.N.
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 Plan acceptance stays unpublished until the practice reports it.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 1346525201 · enumerated 2011-10-11 · record updated 2024-03-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 161 S DOOLEY CT, SALT LAKE CITY, UT, 84102-4104 (801) 696-8513 Google Maps Apple Maps OpenStreetMap
- Mailing address 161 S DOOLEY CT, SALT LAKE CITY, UT, 84102-4104 (801) 696-8513 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 8038048-3102 UT
- Registered Nurse, Pediatrics 163WP0200X · License 8038048-3102 UT
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 8038048-4405 UT
In this directory
UT Salt Lake County Salt Lake City Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841024104
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.