MARY GAVAGAN
NPI 1780083709
Licensed Practical Nurse in Flint, MI

Q: What is Mary Gavagan's NPI number?

The NPI number for Mary Gavagan is 1780083709. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Q: What is Mary Gavagan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gavagan was last updated on August 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2014

3173 MAC AVE, FLINT, MI 48506(810) 397-0050 Get Directions Write a Review

NPPES record last updated: August 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Gavagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GAVAGAN (NPI 1780083709) is an individual licensed practical nurse in Flint, Michigan, licensed in Michigan (4703033666) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1780083709

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARY GAVAGAN

Location Address3173 MAC AVEFlint, MI 48506-2123

Mailing Address3173 Mac AveFlint, MI 48506-2123 · (810) 397-0050

Phone(810) 397-0050

Sole ProprietorYes

Enumeration DateAugust 14, 2014

Last NPPES UpdateAugust 23, 2014

✔ NPI 1780083709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703033666

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3173 MAC AVE, Flint, MI 48506

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gavagan's NPI number?

The NPI number for Mary Gavagan is 1780083709. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Mary Gavagan located?

Mary Gavagan practices at 3173 Mac Ave, Flint, MI 48506. The listed phone number is (810) 397-0050.

What is Mary Gavagan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Gavagan was last updated on August 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.