| Doctor Name: | KRISSA CANN |
| NPI Number: | 1073694279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN00166073 |
| Business Practice Address: | 10710 Mukilteo Speedway Mukilteo, WA - 982755021 |
| Business Phone Number: | 4253498888 |
| Business Fax Number: | |
| Mailing Address: | 10710 Mukilteo Speedway, MUKILTEO |
| State: | WA |
| Postal Code: | 982755021 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN00166073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |