Provider Demographics
NPI:1437971587
Name:GWADRY, NANCY PATRICIA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:PATRICIA
Last Name:GWADRY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MEDICAL CENTER DR STE 3100
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2672
Mailing Address - Country:US
Mailing Address - Phone:207-729-7939
Mailing Address - Fax:
Practice Address - Street 1:121 MEDICAL CENTER DR STE 3100
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2672
Practice Address - Country:US
Practice Address - Phone:207-729-7939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP241771363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care