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

Carrie Cannon

Individual provider Nurse Practitioner · NPI 1063965077

Carrie Cannon is a Nurse Practitioner in Tucson, Arizona. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

50 E Croydon Park Rd
Tucson, AZ 85704-5792
Phone: (520) 696-3438
Fax: (520) 888-2347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP8850 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence TAP8850 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP8850 (AZ)

Record details

NPI number1063965077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address6700 E Speedway, #123, 1620 S Placita Churella, Tucson, Az 85748, Tucson, AZ 85710-0000

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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