Provider Demographics
NPI:1740434281
Name:GAGNON, DONNA MARIE (RNC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:GAGNON
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:PALARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:395 COE ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-6202
Mailing Address - Country:US
Mailing Address - Phone:401-766-1564
Mailing Address - Fax:
Practice Address - Street 1:395 COE ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-6202
Practice Address - Country:US
Practice Address - Phone:401-766-1564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210221163WP0808X
RIRN33834163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health