MARY ANN GAGNON


Address: 31 Colcord St, South Berwick, ME 03908-1004
Phone: 2073844949

MARY ANN GAGNON (NPI# 1871601948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871601948
Entity Type Individual
Full Name MARY ANN GAGNON
Credential APRN
Practice Address 31 Colcord St
South Berwick
ME 03908-1004
Mailing Address 789 Central Ave
Dover
NH 03820-2526
Practice Telephone 2073844949
Practice Fax Number 2073844273
Mailing Telephone 2074519600
Mailing Fax Number 2074519603
Enumeration Date 2006-08-28
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
CNP81271 ME Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
029774-23 NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH RR MEDICARE 500022875 01
ME RR MEDICARE P00991109 01
ME 1871601948 05
NH 3075766 05

Other Providers MARY GAGNON

NPI Name Taxonomy Address Enumeration
1528376605 Mary A Gagnon Marriage & Family Therapist 306 Rodman Rd, Auburn, ME 04210-3830 2010-09-22
1629308242 Mary Elizabeth Gagnon Counselor 3406 Glacier Hwy, Juneau, AK 99801-9501 2010-01-04
1952583445 Mary Lou Gagnon Nurse Anesthetist, Certified Registered 44405 Woodward Ave, Pontiac, MI 48341-5023 2007-11-27
1972707271 Mary Beryl Gagnon Counselor 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 2007-06-12

Office Location

Street Address 31 COLCORD ST
City SOUTH BERWICK
State ME
Zip Code 03908-1004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487672135 Cheryl Ann Corrao Physician Assistant 31 Colcord St, South Berwick, ME 03908-1004 2006-07-18
1114446804 Caryn M Dunn Nurse Practitioner 31 Colcord St, South Berwick, ME 03908-1004 2017-09-13
1184795205 Michael C Kumin Family Medicine 31 Colcord St, South Berwick, ME 03908-1004 2006-11-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922333921 New Communities, Inc. Assisted Living Facility 79 Portland Street, South Berwick, ME 03908 2009-10-08
1457572497 Eva A. Diharce Speech-Language Pathologist 20 Wadleigh Lane, South Berwick, ME 03908 2007-05-01
1043314313 Chiedza G Jokonya Family Medicine 31 Colcord Street, South Berwick, ME 03908-1004 2006-09-08
1982854998 Diana Elaine Kandilakis Counselor 23 Jewett Ave, South Berwick, ME 03908-1109 2008-09-26
1750351607 South Berwick Emergency Ambulance & Rescue Service Inc Ambulance 71 Norton St, South Berwick, ME 03908-1124 2006-01-24
1700835436 Jeffrey Allen Eaton Nurse Practitioner 57 Portland St, South Berwick, ME 03908-1203 2006-05-09
1588640957 Rachel G Burke Family Medicine 57 Portland St., Suite 2a, South Berwick, ME 03908-1203 2005-12-19
1760008650 Elena Turnbull Speech-Language Pathologist 57 Portland St, South Berwick, ME 03908-1203 2020-06-17
1992289862 Carolyn Barrows Physical Therapist 57 Portland St, South Berwick, ME 03908-1203 2018-09-18
1063888576 Lydia Higgins Physical Therapist 57 Portland St, South Berwick, ME 03908-1203 2015-08-19
Find all providers in zip 03908

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407240930 Housecall4u Nurse Practitioner 347 N Bend Rd, Surry, ME 04684-3309 2015-03-23
1427060847 Cathy A Bradley Nurse Practitioner 521 Main Street, Presque Isle, ME 04769 2006-08-13
1467469841 Patricia Thompson Leavitt Nurse Practitioner 1013 Narragansett Trl, Buxton, ME 04093-6607 2006-08-01
1366051666 Lindsey Desrosier Nurse Practitioner 4 Main St, Van Buren, ME 04785-1009 2020-07-23
1255957007 Kathryn Raymond Nurse Practitioner 23 North St, Presque Isle, ME 04769-2291 2020-06-17
1790319457 Eric K Shoaps Nurse Practitioner 70 Main St, Porter, ME 04068-3527 2020-03-02
1528609567 Brandon Woodman Howlett Nurse Practitioner 23 North St, Presque Isle, ME 04769-2291 2019-10-01
1831751510 Miriah Lee Deveau Nurse Practitioner 1 Va Ctr, Augusta, ME 04330-6719 2019-07-02
1326506395 Christopher Curtis King Nurse Practitioner 29 Bowdoin St, Manchester, ME 04351-3554 2019-03-07
1992277008 Gem Health & Wellness Nurse Practitioner 169 Ocean St Ste 104, South Portland, ME 04106-3636 2018-12-31
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Competitor

Search similar providers

City SOUTH BERWICK
Zip Code 03908

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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