# PATRICK GAGNON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740643071
- **Authorized official:** PATRICK GAGNON APRN (OWNER)
- **Authorized official phone:** (475) 225-0537

## Contact information

- **Practice address:** 3017 MAIN ST, STRATFORD, CT 06614-4977
- **Practice address phone:** (475) 225-0537
- **Practice address fax:** (203) 439-2087
- **Mailing address:** 3017 MAIN ST, STRATFORD, CT 06614-4977
- **Mailing address phone:** (475) 225-0537
- **Mailing address fax:** (203) 439-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 000894 | CT | Yes |

## Other

- **Enumeration date:** 04/04/2016
- **Last updated:** 04/04/2016