Individual provider · Type 1 NPI

Mary Gavagan

Licensed Practical Nurse · Flint, MI

NPI number 1780083709 Active

Practice location

3173 Mac Ave
Flint, MI 48506-2123

Call (810) 397-0050 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703033666 (MI)

Licensed Practical Nurse: 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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About NPI 1780083709

Mary Gavagan's National Provider Identifier is 1780083709, issued on Aug 14, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Flint, MI. The record was last updated on Aug 23, 2014.