# PAULA ANNE BEAVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194786368
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | RN156037 | MA | Yes |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 156037 | MA | — |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 04/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 321192 | — | MA |