Individual
SUZANNE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1691 GALISTEO ST, SUITE D, SANTA FE, NM 87505-4780
(505) 954-1921
(505) 954-1922
Mailing address
1691 GALISTEO ST, SUITE D, SANTA FE, NM 87505-4780
(505) 954-1921
(505) 954-1922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00752
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N4725
—
NM
Enumeration date
08/01/2006
Last updated
01/05/2024
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