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

Camille Gannon

Individual provider Physician Assistant · NPI 1003644428

Camille Gannon is a Physician Assistant in Longmont, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2024

Practice location Address checks out

2017 100 Yearparty Ct # 80504
Longmont, CO 80504-8475
Phone: (303) 848-3800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 Arapahoe Ave Unit D176, Boulder, CO 80303-1310 — (303) 848-3800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CO)

Record details

NPI number1003644428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address220 Wright St Apt 203, Lakewood, CO 80228-1409

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