Gagnon, Mary Ann

Gagnon, Mary Ann is an individual health care provider with primary practice located at 31 Colcord St , South Berwick ME 03908-1004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Gagnon, Mary Ann can be contacted via phone (207) 384-4949.

Contact Information

Primary practice address
31 Colcord St South Berwick ME 03908-1004
Phone: (207) 384-4949
Fax: (207) 384-4273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 029774-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X CNP81271 Maine

Profile Details

NPI number 1871601948
LBN Legal business name Gagnon, Mary Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Mar 6th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871601948 NPPES
New Hampshire MEDICAID 3075766
New Hampshire Other P00991109
New Hampshire Other 500022875
New Hampshire MEDICAID 1871601948

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