Individual
JENNIFER GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8 PROSPECT ST, ANESTHESIA DEPT., NASHUA, NH 03060-3925
(603) 889-2624
Mailing address
PO BOX 847056, NASHUA ANESTHESIA PARTNERS, BOSTON, MA 02284-7056
(800) 720-1664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
014461-23-11
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011494
—
NH
Enumeration date
11/20/2006
Last updated
11/15/2007
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