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JACQUELINE J GAGEN, CNM, FNP – NPI #1811964281
Family

NPI Profile for JACQUELINE J GAGEN in SAYRE, PA.

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Contact Information

JACQUELINE J GAGEN, CNM, FNP
1 GUTHRIE SQ
SAYRE, PA  18840-1625
 Phone: 570-888-5858
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
 

Advanced Practice Midwife

 367A00000X 42 Certified Nurse Midwife
 

Gynecology

 207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics

 207VX0000X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

 363LX0001X 50 Nurse Practitioner
 

Obstetrics & Gynecology

 207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JACQUELINE J GAGEN · (Female)

NPI Number 1811964281
Status Active
Credentials CNM, FNP
Entity Individual
Enumeration date 03/03/2006
Last updated 03/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 343016
  • NY License # 360384
  • NY License # 6153461
  • NY License # F000501
Hospital affiliation(s)
  • CORTLAND REGIONAL MEDICAL CENTER INC - (Acute Care)
    134 HOMER AVENUE
    CORTLAND, NY 13045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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