Individual
DENISE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
874 PURCHASE ST., NEW BEDFORD, MA 02740
(508) 992-6553
(508) 990-7558
Mailing address
874 PURCHASE ST., GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, NEW BEDFORD, MA 02740
(508) 992-6553
(508) 990-7558
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
199708
MA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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