IndividualActive
Mary Gagnon, APRN
NPI 1871601948 · Primary Care Nurse Practitioner · South Berwick, ME
Provider details
- NPI number
- 1871601948
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 029774-23 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
31 Colcord St
South Berwick, ME 03908-1004
Phone: (207) 384-4949
Fax: (207) 384-4273
Approximate (ZIP-level) locationGet directions
Mailing address
789 Central Ave
Dover, NH 03820-2526
Registry dates
- Enumerated
- 2006-08-28
- Last updated
- 2019-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.