Individual
RENEE BEAUREGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC, RN
Contact information
Practice address
6324 FAIRVIEW RD STE 460, CHARLOTTE, NC 28210-3374
(980) 302-8611
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 288-5305
(980) 260-0350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019548
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5019548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16125360
—
NC
01
—
1790572303
NPI
—
Enumeration date
02/02/2024
Last updated
01/15/2026
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