Individual provider · Type 1 NPI

Timothy James Gagnon, NP

Nurse Practitioner · Madera, CA

NPI number 1861681652 Active

Practice location

9300 Valley Childrens Pl
Madera, CA 93636-8761

Mailing address

9155 Mcginnis Ave
Las Vegas, NV 89148-2627

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP17765 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1861681652

Timothy James Gagnon, NP's National Provider Identifier is 1861681652, issued on Oct 17, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madera, CA. The record was last updated on Oct 17, 2007.