Individual
PAULA ANNE BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN156037
MA
363LN0005X
Critical Care Neonatal Nurse Practitioner
156037
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321192
—
MA
Enumeration date
03/29/2006
Last updated
04/26/2021
Update your record
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