Heather Gannon, is a
Licensed Practical Nurse based in Hudsonville, Michigan. Heather Gannon is licensed to practice in Michigan (license number 4703096594) and her current practice location is
2831 Beechridge Dr, Hudsonville, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 337-2299.
NPI number for Heather Gannon is 1659240935 and her current mailing address is 2831 Beechridge Dr, Hudsonville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659240935.
Provider's Profile
| Full Name | Heather Gannon |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 2831 Beechridge Dr, Hudsonville, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659240935
- Provider Enumeration Date: 11/04/2025
- Last Update Date: 11/04/2025
Medical Identifiers
Medical identifiers for Heather Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659240935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703096594 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Gannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Heather Gannon, 2831 Beechridge Dr, Hudsonville, MI 49426-1747 Ph: () - | Heather Gannon, 2831 Beechridge Dr, Hudsonville, MI 49426-1747 Ph: (616) 337-2299 |
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