MR. PATRICK LYNN GAGNON (NPI# 1083748214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083748214 |
| Entity Type | Individual |
| Full Name | MR. PATRICK LYNN GAGNON |
| Other Name | PATRICK LYNN GAGNON |
| Credential | APRN |
| Practice Address |
80 E Broadway Apt D Milford CT 06460-6120 |
| Mailing Address |
3017 Main St Stratford CT 06614-4977 |
| Practice Telephone | 2038150691 |
| Practice Fax Number | 2038150691 |
| Mailing Telephone | 2038150691 |
| Mailing Fax Number | 2038736845 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
000894 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004174843 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588869366 | Patrick James Gagnon | Radiology | 206 Mill Rd, Fairhaven, MA 02719-5208 | 2007-06-20 |
| Street Address |
80 E BROADWAY APT D |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-6120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679032163 | Angela Michelle Wagner | Nurse Practitioner | 1077 State Route 28 Ste 202, Milford, OH 45150-4000 | 2019-03-14 |
| 1972867695 | Susan J Boorin | Nurse Practitioner | 120 Broad St, Milford, CT 06460-4725 | 2012-06-27 |
| 1124301023 | Roxann Jean Hackbarth | Nurse Practitioner | 1004 21st St, Suite #3, Milford, IA 51351-7421 | 2011-09-27 |
| 1023195765 | Christine S Simpson | Nurse Practitioner | 45 Wildemere Ave, Milford, CT 06460-5354 | 2006-11-01 |
| 1427168111 | Ruth Sposili | Nurse Practitioner | 11 Norman Cir, Milford, CT 06460-4234 | 2006-08-30 |
| 1245256692 | Laura Giesman | Nurse Practitioner | 52 W Main St, Suite 905, Milford, CT 06460-3310 | 2006-07-15 |
| 1336664598 | Anthony Michael Trezza | Nurse Practitioner | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2017-08-09 |
| 1609391978 | Desiree Marie Thomas | Nurse Practitioner | 247 Broad St, Milford, CT 06460-3273 | 2017-08-08 |
| 1124569157 | Shoreline Neuropsychiatric Services, LLC | Nurse Practitioner | 215 Broad St, Unit 2w, Milford, CT 06460-4760 | 2017-03-09 |
| 1821542408 | Fresh Pathways | Nurse Practitioner | 57 Plains Rd, Milford, CT 06461-2573 | 2016-08-11 |
| Find all providers in MILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.