# MRS. STACEY ELIZABETH BEAUDOIN

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

## Provider details

- **NPI number:** 1861546913
- **Gender:** F
- **Credential:** AUD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | LD00004422 | WA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 04/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0218801 | LABOR & INDUSTRY | WA |
| 01 | — | 65043U | REGENCE BLUESHIELD | WA |
| 05 | — | 8476038 | — | WA |