Provider Demographics
NPI:1518722479
Name:GAGNE, CATRIN TABOR (DNP, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:CATRIN
Middle Name:TABOR
Last Name:GAGNE
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 S ELLIS CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4880
Mailing Address - Country:US
Mailing Address - Phone:832-586-6772
Mailing Address - Fax:
Practice Address - Street 1:2419 S ELLIS CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-4880
Practice Address - Country:US
Practice Address - Phone:832-586-6772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1644815163WN0002X
COAPN.0999540-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care