Gagnon, Doreen

Gagnon, Doreen is an individual health care provider with primary practice located at 830 Chalkstone Ave , Providence RI 02908-4734. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Gagnon, Doreen can be contacted via phone (401) 273-7100.

Contact Information

Primary practice address
830 Chalkstone Ave Providence RI 02908-4734
Phone: (401) 273-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN34980 Rhode Island
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN201559 Massachusetts

Profile Details

NPI number 1073614152
LBN Legal business name Gagnon, Doreen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073614152 NPPES
Rhode Island MEDICAID DE22167
Rhode Island Other 1104847946

Popular Providers