MARY ELLEN GAGNON LPN
NPI 1972217925
Licensed Practical Nurse in Watertown, NY

Q: What is Mary Gagnon's NPI number?

The NPI number for Mary Gagnon is 1972217925. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Q: What is Mary Gagnon'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 Gagnon was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 12, 2023

903 BOYD ST APT 2A, WATERTOWN, NY 13601(315) 921-1834 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Ellen Gagnon Lpn NPPES

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

MARY ELLEN GAGNON LPN (NPI 1972217925) is an individual licensed practical nurse in Watertown, New York, licensed in New York (311320-01) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1972217925

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARY ELLEN GAGNONCredential: LPN

Location Address903 BOYD ST APT 2AWatertown, NY 13601-7513

Mailing Address903 Boyd St Apt 2aWatertown, NY 13601-7513 · (315) 921-1834

Phone(315) 921-1834

Sole ProprietorNo

Enumeration DateJanuary 12, 2023

NPPES CertifiedJanuary 12, 2023

✔ NPI 1972217925 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 NY · 311320-01

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.

903 BOYD ST APT 2A, Watertown, NY 13601

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Other Identifiers 1

Other311320-01NY · Nys Education Dept

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 Gagnon's NPI number?

The NPI number for Mary Gagnon is 1972217925. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Where is Mary Gagnon located?

Mary Gagnon practices at 903 Boyd St Apt 2A, Watertown, NY 13601. The listed phone number is (315) 921-1834.

What is Mary Gagnon'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 Gagnon was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.