Provider Demographics
NPI:1538505300
Name:CANTON, JOAN C (NP-C)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:C
Last Name:CANTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10748
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0748
Mailing Address - Country:US
Mailing Address - Phone:661-431-1555
Mailing Address - Fax:661-471-2410
Practice Address - Street 1:8329 BRIMHALL ROAD
Practice Address - Street 2:SUITE 804
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312
Practice Address - Country:US
Practice Address - Phone:661-431-1555
Practice Address - Fax:661-471-2410
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily