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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | RR MEDICARE | 500022875 | 01 |
ME | RR MEDICARE | P00991109 | 01 |
ME | 1871601948 | 05 | |
NH | 3075766 | 05 |
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 |
Street Address |
31 COLCORD ST |
City | SOUTH BERWICK |
State | ME |
Zip Code | 03908-1004 |
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 |
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 Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | SOUTH BERWICK |
Zip Code | 03908 |
Please comment or provide details below to improve the information on MARY ANN GAGNON.
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.