Individual provider · Type 1 NPI
Doreen Gagnon, RN
Psychiatric/Mental Health Registered Nurse · Providence, RI
NPI number
1073614152
Active
Practice location
830 Chalkstone Ave
Providence, RI 02908-4734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN34980 (RI) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN201559 (MA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1073614152
Doreen Gagnon, RN's National Provider Identifier is 1073614152, issued on Sep 25, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Providence, RI. The record was last updated on Jan 3, 2013.