Mary Gallant, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R023447 Issued in ME

Practice address

66 Spruce St
Presque Isle, ME 04769-3243

Phone

(207) 769-2025

Fax

(207) 764-0629

NPI assigned

Mar 14, 2006

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1205805363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360040",
            "telephone_number": "207-498-2359",
            "fax_number": "207-498-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SPRUCE ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693243",
            "telephone_number": "207-769-2025",
            "fax_number": "207-764-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "R023447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey H Frost, LMSW-CC
• Full Circle Health Care LLC
• Jessica R. Gagnon, FNP
• Sarah E Gahagan
• Donna L Gallant, C.PED, BOCO, CMF
• Paulette J Garrison, MHRT-CSP
• Skylah Gendreau, TCM/MHRTC/LMSW-CC
• Jeffrey Davenport Georgia, M.D.
• John C Gershman-Tewksbury, MD
• Bethany Gervais, MSOT

• Nurse Practitioner in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.