Individual
SHERRY GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 HOPPIN ST, CORO WEST, PROVIDENCE, RI 02903-4141
(401) 444-5980
(401) 444-3873
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-5980
(401) 444-3873
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN00043
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN00043
LICENSE
RI
Enumeration date
02/16/2006
Last updated
10/22/2015
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