Individual provider · Type 1 NPI
Mary Ann Gagnon, APRN
Primary Care Nurse Practitioner · South Berwick, ME
NPI number
1871601948
Active
Practice location
31 Colcord St
South Berwick, ME 03908-1004
Fax (207) 384-4273
Mailing address
789 Central Ave
Dover, NH 03820-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 029774-23 (NH) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | CNP81271 (ME) |
Primary Care Nurse Practitioner: Definition to come...
4 other providers at this address
- Cheryl Ann Corrao, PA-CMedical Physician Assistant South Berwick, ME NPI 1487672135
- Michael C. Kumin, MDFamily Medicine Physician South Berwick, ME NPI 1184795205
- Ricardo Plata, PA-CPhysician Assistant South Berwick, ME NPI 1215187794
- Sally Naredla, APRN, FNP-CFamily Nurse Practitioner South Berwick, ME NPI 1861195687
About NPI 1871601948
Mary Ann Gagnon, APRN's National Provider Identifier is 1871601948, issued on Aug 28, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in South Berwick, ME. The record was last updated on Mar 6, 2019.