| Doctor Name: | CAROL A GAGNE |
| NPI Number: | 1720189384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 142308 |
| Business Practice Address: | 10 Research Pl Suite 205 N Chelmsford, MA - 018632456 |
| Business Phone Number: | 9784598300 |
| Business Fax Number: | 9784598303 |
| Mailing Address: | 10 Research Pl, Suite 205 N CHELMSFORD |
| State: | MA |
| Postal Code: | 018632456 |
| Phone Number: | 9784598300 |
| Fax Number: | 9784598303 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 12/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 142308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |