IndividualActive
Justin Gagnon
NPI 1114819570 · Licensed Practical Nurse · Enfield, CT
Justin Gagnon is a Licensed Practical Nurse provider in Enfield, CT (NPI 1114819570).
Provider details
- NPI number
- 1114819570
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 38841 (CT)
Practice location
153 Hazard Ave
Enfield, CT 06082-4592
Phone: (860) 731-5522
Fax: (860) 731-5536
Street-level locationGet directions
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Registry dates
- Enumerated
- 2025-07-18
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.