Individual provider · Type 1 NPI
Mary Ellen Gavin
Case Management Registered Nurse · Fairfield, CT
NPI number
1851229041
Active
Practice location
140 Stillson Rd
Fairfield, CT 06825-3212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | R52304 (CT) |
Case Management Registered Nurse: Definition to come...
Another provider at this address
About NPI 1851229041
Mary Ellen Gavin's National Provider Identifier is 1851229041, issued on May 11, 2026. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fairfield, CT. The record was last updated on May 11, 2026.