Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abigail Cannon

Individual provider Women's Health Nurse Practitioner · NPI 1215872965

Abigail Cannon is a Nurse Practitioner in Longmont, Colorado. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2026
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Practice location Address checks out

1760 E Ken Pratt Blvd Ste 201
Longmont, CO 80504-5311
Phone: (720) 718-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence APN.1001381-NP (CO)

Record details

NPI number1215872965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 20, 2026
Mailing address1963 Winding Dr, Longmont, CO 80504-2415

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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