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Mary Ellen Gagnon, LPN
Licensed Practical Nurse in Watertown, New York
NPI 1972217925

Mary Ellen Gagnon is a Licensed Practical Nurse based in Watertown, NY. Mary Ellen Gagnon practices in Watertown, NY and has the professional credentials of LPN. The NPI Number for Mary Ellen Gagnon is 1972217925 and holds a License No. 311320-01 (New York).

The current practice location address for Mary Ellen Gagnon is 903 Boyd St Apt 2A, Watertown, NY and can be reached out via phone at 315-921-1834.

Location: 903 Boyd St Apt 2A, Watertown, NY, 13601-7513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972217925
Provider Name
Mary Ellen Gagnon
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
903 Boyd St Apt 2A, Watertown, NY, 13601-7513
Phone Number
315-921-1834
Fax Number
Provider Enumeration Date
01/12/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311320-01 01 NY NYS EDUCATION DEPT
institution
Provider Business Practice Location Address Details
Address
903 Boyd St Apt 2A
City
Watertown
State
New York
Zip
13601-7513
Phone Number
315-921-1834
Fax Number
person
Provider Business Mailing Address Details
Address
903 Boyd St Apt 2A
City
Watertown
State
New York
Zip
13601-7513
Phone Number
315-921-1834
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
311320-01 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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