Individual
MRS. ERIN PATRICIA BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
120 LOUIE ST, WAGENER, SC 29164-9445
(803) 564-8803
(803) 564-8804
Mailing address
390 BETHCAR CHURCH RD, WAGENER, SC 29164
(401) 523-4556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F4255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP 1787 SC
—
SC
Enumeration date
12/16/2008
Last updated
02/03/2016
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