Gagnon, Timothy James

Gagnon, Timothy James is an individual health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8761. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gagnon, Timothy James can be contacted via phone (559) 353-3000.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP17765 California

Profile Details

NPI number 1861681652
LBN Legal business name Gagnon, Timothy James
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 17 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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