Individual
MEGHAN L BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
119 BELMONT STREET, WORCESTER, MA 01605-2903
(508) 334-6206
(508) 334-6083
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2268553
MA
363LN0000X
Neonatal Nurse Practitioner
053558-23
NH
363LN0000X
Neonatal Nurse Practitioner
Primary
RN2268553
MA
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN2268553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094760A
—
MA
01
—
S400341766
MEDICARE
MA
Enumeration date
11/03/2011
Last updated
10/05/2023
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