Individual
GERARD ROBERT BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, ACNP
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 308-1467
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 308-1467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
063188-23
NH
363LA2100X
Acute Care Nurse Practitioner
063188-23
NH
363LA2100X
Acute Care Nurse Practitioner
101.0118274
VT
Other
Enumeration date
10/01/2013
Last updated
08/17/2022
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