Provider Demographics
NPI:1518722479
Name:GAGNE, CATRIN TABOR (DNP, CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:CATRIN
Middle Name:TABOR
Last Name:GAGNE
Suffix:
Gender:
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 YOUNGFIELD ST STE 120
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-0208
Mailing Address - Country:US
Mailing Address - Phone:720-807-4304
Mailing Address - Fax:833-771-2215
Practice Address - Street 1:2801 YOUNGFIELD ST STE 120
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-0208
Practice Address - Country:US
Practice Address - Phone:832-586-6772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1644815163WN0002X
COAPN.0999540-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care