Active NPIIndividual provider

Mary A Gagnon, APRN

Nurse Practitioner, Primary Care in South Berwick, Maine

NPI Number1871601948
Practice location
31 Colcord St, South Berwick, ME 03908-1004
Fax
207-384-4273
Last updated
March 6, 2019

Mary Ann Gagnon is a Nurse Practitioner, Primary Care based in South Berwick, ME. Mary Ann Gagnon practices in South Berwick, ME and has the professional credentials of APRN. The NPI Number for Mary Ann Gagnon is 1871601948 and holds a License No. 029774-23 (NH). The current practice location address for Mary Ann Gagnon is 31 Colcord St, South Berwick, ME 03908-1004 and can be reached out via phone at 207-384-4949 and via fax at 207-384-4273.

Provider Profile Details

NPI Number
1871601948
Provider Name
Mary Ann Gagnon
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
31 Colcord St, South Berwick, ME 03908-1004
Phone Number
207-384-4949
Fax Number
207-384-4273
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2006
Last Update Date
March 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Colcord St
South Berwick, ME 03908-1004
State
Maine
Zip
03908-1004
Phone Number
207-384-4949
Fax Number
207-384-4273
South Berwick, ME 03908Get directions →

Provider Business Mailing Address Details

Address
789 Central Ave
Dover, NH 03820-2526
City
Dover
State
NH
Zip
03820-2526
Phone Number
207-451-9600
Fax Number
207-451-9603

License Information

License Number (1)
029774-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (2)
CNP81271
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary A Gagnon, APRN?

The NPI number of Mary A Gagnon, APRN is 1871601948. It was assigned on August 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary A Gagnon, APRN?

Mary A Gagnon, APRN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NH under license number 029774-23.

Where does Mary A Gagnon, APRN practice?

The practice location is 31 Colcord St, South Berwick, ME 03908-1004. The office can be reached at 207-384-4949 (phone) or 207-384-4273 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871601948 directly on the NPPES registry website.

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