Alison Gagnon, FNP-C | |
31039b Hwy 64, Cimarron, NM 87714-9646 | |
(575) 376-2402 | |
Not Available |
Full Name | Alison Gagnon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 31039b Hwy 64, Cimarron, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528515509 | NPI | - | NPPES |
573270YM1K | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP-03092 (New Mexico) | Primary |
Entity Name | Miners' Colfax Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20031105000106 |
Entity Name | Miners' Colfax Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20100514000911 |
Entity Name | Miners' Colfax Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1083931109 PECOS PAC ID: 5294647400 Enrollment ID: O20110317000764 |
Entity Name | South Central Colfax County Special Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215163639 PECOS PAC ID: 6800070707 Enrollment ID: O20111019000475 |
Entity Name | Cura Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649984667 PECOS PAC ID: 5799143103 Enrollment ID: O20230616001109 |
Mailing Address | Practice Location Address |
---|---|
Alison Gagnon, FNP-C 204 Turf Dr, Raton, NM 87740-2005 Ph: (303) 596-6101 | Alison Gagnon, FNP-C 31039b Hwy 64, Cimarron, NM 87714-9646 Ph: (575) 376-2402 |