MARY ANN GAGNON APRN NPI 1871601948

NPI Information

  • NPI: 1871601948
  • Provider Name: MARY ANN GAGNON, APRN
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 31 COLCORD ST
    SOUTH BERWICK, ME
    ZIP 03908
  • Phone: (207) 384-4949

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NPI Details

Mary Ann Gagnon, APRN is a primary care nurse practitioner in South Berwick, ME. Mary Ann Gagnon, APRN NPI is 1871601948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31 COLCORD ST
SOUTH BERWICK, ME
ZIP 03908-004
Phone: (207) 384-4949
Fax: (207) 384-4273

The enumeration date for this NPI number is 8/28/2006 and was last updated on 3/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareCNP81271MAINEYes
2363LP2300XNurse PractitionerPrimary Care029774-23NEW HAMPSHIRENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500022875OTHERNEW HAMPSHIRERR MEDICARE
2P00991109OTHERMAINERR MEDICARE
31871601948MEDICAIDMAINE
43075766MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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