# SUSAN ELIZABETH GAGNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922280817
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN04102 | RI | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN211088 | MA | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | APRN00356 | RI | — |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 10/08/2025
